01D0690020 CLIA NUMBER - FAMILY PRACTICE ASSOCIATES LLC

Laboratory Demographics

  • Code: 01D0690020
  • Facility Name: FAMILY PRACTICE ASSOCIATES LLC
  • Facility Address: 1704 SOUTH FOREST AVENUE
    LUVERNE, AL
    ZIP 36049
  • Facility Phone: 334 335-3383
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1255364246
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0690020
LAB Type Physician Office
Facility Name FAMILY PRACTICE ASSOCIATES LLC
Street 1704 SOUTH FOREST AVENUE
City LUVERNE
State AL
ZIP 36049
Phone 334 335-3383
Certificate Type 4
Certificate Effective Date 9/4/2023
Certificate Expiration Date 9/3/2025
Facility Type Waiver

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