01D0665335 CLIA NUMBER - PROVIDENCE HOSPITAL LABORATORY

Laboratory Demographics

  • Code: 01D0665335
  • Facility Name: PROVIDENCE HOSPITAL LABORATORY
  • Facility Address: 6801 AIRPORT BLVD
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 633-1401
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • NPI Number: 1326242066
  • Taxonomy: 261QM1200X - Clinic/Center
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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
Certificate Type 1
Certificate Effective Date 2/9/2023
Certificate Expiration Date 2/8/2025
Facility Type Accreditation

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