01D0665335 CLIA NUMBER - PROVIDENCE HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 01D0665335

Facility Name: PROVIDENCE HOSPITAL LABORATORY

Facility Address:
6801 AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Facility Phone Number: (251) 633-1401

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1326242066

Taxonomy: 261QM1200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0665335
LAB Type	HOSPITAL
Facility Name	PROVIDENCE HOSPITAL LABORATORY
Street	6801 AIRPORT BLVD
City	MOBILE
State	AL
ZIP	36608
Phone	(251) 633-1401

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This page was last updated on: 5/11/2023