01D0686005 CLIA NUMBER - HENDERSON & WALTON WOMENS CENTER PC

Laboratory Demographics

CLIA Number: 01D0686005

Facility Name: HENDERSON & WALTON WOMENS CENTER PC

Facility Address:
500 TOWNCENTER BLVD
TUSCALOOSA, AL
ZIP 35406
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Facility Phone Number: 205 930-1800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578572632

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 01D0686005
LAB Type Physician Office
Facility Name HENDERSON & WALTON WOMENS CENTER PC
Street 500 TOWNCENTER BLVD
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 930-1800
CertificateType 4
CertificateEffectiveDate 6/15/2022
CertificateExpirationDate 6/14/2024
FacilityType Waiver

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