01D0683614 CLIA NUMBER - MONTGOMERY WOMEN'S HEALTH ASSOCIATES PC

Laboratory Demographics

CLIA Number: 01D0683614

Facility Name: MONTGOMERY WOMEN'S HEALTH ASSOCIATES PC

Facility Address:
470 TAYLOR ROAD SUITE 300
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: 334 281-1191

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376726125

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0683614
LAB Type	Physician Office
Facility Name	MONTGOMERY WOMEN'S HEALTH ASSOCIATES PC
Street	470 TAYLOR ROAD SUITE 300
City	MONTGOMERY
State	AL
ZIP	36117
Phone	334 281-1191
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

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