01D0641802 CLIA NUMBER - LAKE MARTIN COMMUNITY HOSPITAL

Laboratory Demographics

  • Code: 01D0641802
  • Facility Name: LAKE MARTIN COMMUNITY HOSPITAL
  • Facility Address: 201 MARIARDEN ROAD
    DADEVILLE, AL
    ZIP 36853
  • Facility Phone: 256 825-3235
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • NPI Number: 1952407215
  • Taxonomy: 3336C0003X - Pharmacy
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CLIA Record

Field Name Field Value
CLIA Number 01D0641802
LAB Type Hospital
Facility Name LAKE MARTIN COMMUNITY HOSPITAL
Street 201 MARIARDEN ROAD
City DADEVILLE
State AL
ZIP 36853
Phone 256 825-3235
Certificate Type 2
Certificate Effective Date 6/21/2023
Certificate Expiration Date 6/20/2025
Facility Type Compliance

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This page was last updated on: 4/23/2024