01D0681950 CLIA NUMBER - Larry T Bolton Md Pc

Laboratory Demographics

CLIA Number: 01D0681950

Facility Name: Larry T Bolton Md Pc

Facility Address:
303 Parks Avenue
Scottsboro, AL
ZIP 35768
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Facility Phone Number: (256) 574-3623

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 01D0681950
LAB Type PHYSICIAN OFFICE
Facility Name Larry T Bolton Md Pc
Street 303 Parks Avenue
City Scottsboro
State AL
ZIP 35768
Phone 2565743623

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This page was last updated on: 12/21/2017