01D0700207 CLIA NUMBER - JOHNSON & SAUCER MD PA

Laboratory Demographics

CLIA Number: 01D0700207

Facility Name: JOHNSON & SAUCER MD PA

Facility Address:
1722 PINE STREET SUITE 603
MONTGOMERY, AL
ZIP 36106
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Facility Phone Number: 334 264-2422

Facility Type: Physician Office

Certificate Type: Microscopy

CLIA Record

Field Name Field Value
CLIA Number 01D0700207
LAB Type Physician Office
Facility Name JOHNSON & SAUCER MD PA
Street 1722 PINE STREET SUITE 603
City MONTGOMERY
State AL
ZIP 36106
Phone 334 264-2422
CertificateType 3
CertificateEffectiveDate 4/1/2024
CertificateExpirationDate 3/31/2026
FacilityType PPMP

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