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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
CertificateType 2
CertificateEffectiveDate 4/28/2023
CertificateExpirationDate 4/27/2025
FacilityType Compliance

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