01D0676999 CLIA NUMBER - DECATUR ENT ASSOCIATES

Laboratory Demographics

CLIA Number: 01D0676999

Facility Name: DECATUR ENT ASSOCIATES

Facility Address:
1218 13TH AVE SE
DECATUR, AL
ZIP 35601
Get Directions

Facility Phone Number: (256) 355-6200

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1164487708

Taxonomy: 207YS0123X - Otolaryngology
An otolaryngologist who specializes in facial plastic surgery.

CLIA Record

Field Name	Field Value
CLIA Number	01D0676999
LAB Type	PHYSICIAN OFFICE
Facility Name	DECATUR ENT ASSOCIATES
Street	1218 13TH AVE SE
City	DECATUR
State	AL
ZIP	35601
Phone	(256) 355-6200

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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