01D0692682 CLIA NUMBER - PELL CITY CLINICAL LABORATORY

Laboratory Demographics

CLIA Number: 01D0692682

Facility Name: PELL CITY CLINICAL LABORATORY

Facility Address:
2811 DR JOHN HAYNES DRIVE SUITE 102
PELL CITY, AL
ZIP 35125
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Facility Phone Number: (205) 884-1597

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1790875532

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0692682
LAB Type PHYSICIAN OFFICE
Facility Name PELL CITY CLINICAL LABORATORY
Street 2811 DR JOHN HAYNES DRIVE SUITE 102
City PELL CITY
State AL
ZIP 35125
Phone (205) 884-1597

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