01D0683617 CLIA NUMBER - STEWART DERMATOLOGY

Laboratory Demographics

  • Code: 01D0683617
  • Facility Name: STEWART DERMATOLOGY
  • Facility Address: 122 N 20TH STREET #25
    OPELIKA, AL
    ZIP 36801
  • Facility Phone: 334 749-5604
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
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CLIA Record

Field Name Field Value
CLIA Number 01D0683617
LAB Type Physician Office
Facility Name STEWART DERMATOLOGY
Street 122 N 20TH STREET #25
City OPELIKA
State AL
ZIP 36801
Phone 334 749-5604
Certificate Type 2
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Compliance

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