01D0641778 CLIA NUMBER - West Mobile Medical Group

Laboratory Demographics

CLIA Number: 01D0641778

Facility Name: West Mobile Medical Group

Facility Address:
610 Providence Park Dr E Bldg 1 Suite 102
Mobile, AL
ZIP 36695
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Facility Phone Number: (251) 378-3900

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0641778
LAB Type PHYSICIAN OFFICE
Facility Name West Mobile Medical Group
Street 610 Providence Park Dr E Bldg 1 Suite 102
City Mobile
State AL
ZIP 36695
Phone 2513783900

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This page was last updated on: 12/21/2017