01D0700623 CLIA NUMBER - CHILDERSBURG PRIMARY CARE

Laboratory Demographics

CLIA Number: 01D0700623

Facility Name: CHILDERSBURG PRIMARY CARE

Facility Address:
33637 US HWY 280
CHILDERSBURG, AL
ZIP 35044
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Facility Phone Number: (256) 378-3313

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1851476261

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	01D0700623
LAB Type	PHYSICIAN OFFICE
Facility Name	CHILDERSBURG PRIMARY CARE
Street	33637 US HWY 280
City	CHILDERSBURG
State	AL
ZIP	35044
Phone	(256) 378-3313

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