01D0641726 CLIA NUMBER - SOUTHEAST HEALTH ENTERPRISE CLINIC

Laboratory Demographics

CLIA Number: 01D0641726

Facility Name: SOUTHEAST HEALTH ENTERPRISE CLINIC

Facility Address:
101 PROFESSIONAL LANE
ENTERPRISE, AL
ZIP 36330
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Facility Phone Number: (334) 793-8176

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1487708731

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0641726
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHEAST HEALTH ENTERPRISE CLINIC
Street	101 PROFESSIONAL LANE
City	ENTERPRISE
State	AL
ZIP	36330
Phone	(334) 793-8176

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This page was last updated on: 3/23/2022