01D0684484 CLIA NUMBER - PRATTVILLE BAPT MED CTR CARDIOPULM LAB

Laboratory Demographics

CLIA Number: 01D0684484

Facility Name: PRATTVILLE BAPT MED CTR CARDIOPULM LAB

Facility Address:
124 SOUTH MEMORIAL DRIVE
PRATTVILLE, AL
ZIP 36068
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Facility Phone Number: 334 361-4243

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1326184029

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 01D0684484
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PRATTVILLE BAPT MED CTR CARDIOPULM LAB
Street 124 SOUTH MEMORIAL DRIVE
City PRATTVILLE
State AL
ZIP 36068
Phone 334 361-4243
CertificateType 1
CertificateEffectiveDate 11/4/2022
CertificateExpirationDate 11/3/2024
FacilityType Accreditation

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