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 3347462197

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This page was last updated on: 5/19/2019