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01D0691174 CLIA NUMBER - FAYETTE MEDICAL CENTER LAB

Laboratory Demographics

CLIA Number: 01D0691174

Facility Name: FAYETTE MEDICAL CENTER LAB

Facility Address:
1653 TEMPLE AVE NORTH
FAYETTE, AL
ZIP 35555
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Facility Phone Number: (205) 932-1323

Facility Type: HOSPITAL

Certificate Type: Accreditation

NPI Number: 1821241613

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 01D0691174
LAB Type HOSPITAL
Facility Name FAYETTE MEDICAL CENTER LAB
Street 1653 TEMPLE AVE NORTH
City FAYETTE
State AL
ZIP 35555
Phone (205) 932-1323

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This page was last updated on: 3/23/2022