01D0641793 CLIA NUMBER - RURAL HEALTH MED CLINIC PINE APPLE

Laboratory Demographics

CLIA Number: 01D0641793

Facility Name: RURAL HEALTH MED CLINIC PINE APPLE

Facility Address:
867 COUNTY ROAD 59
PINE APPLE, AL
ZIP 36768
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Facility Phone Number: (334) 746-2197

Facility Type: COMMUNITY CLINIC

Certificate Type: Microscopy

NPI Number: 1295804391

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0641793
LAB Type	COMMUNITY CLINIC
Facility Name	RURAL HEALTH MED CLINIC PINE APPLE
Street	867 COUNTY ROAD 59
City	PINE APPLE
State	AL
ZIP	36768
Phone	(334) 746-2197

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