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