01D0699938 CLIA NUMBER - MED PLUS MUSCLE SHOALS

Laboratory Demographics

  • Code: 01D0699938
  • Facility Name: MED PLUS MUSCLE SHOALS
  • Facility Address: 108 W AVALON AVE
    MUSCLE SHOALS, AL
    ZIP 35661
  • Facility Phone: 256 389-9300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1730165705
  • Taxonomy: 207Q00000X - Family Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0699938
LAB Type Physician Office
Facility Name MED PLUS MUSCLE SHOALS
Street 108 W AVALON AVE
City MUSCLE SHOALS
State AL
ZIP 35661
Phone 256 389-9300
Certificate Type 4
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Waiver

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