01D0704439 CLIA NUMBER - FCI TALLADEGA

Laboratory Demographics

CLIA Number: 01D0704439

Facility Name: FCI TALLADEGA

Facility Address:
ATTN HEALTH SERVICES 565 EAST RENFROE RD
TALLADEGA, AL
ZIP 35160
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Facility Phone Number: (256) 315-4124

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1033719729

Taxonomy: 261QP2400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0704439
LAB Type	OTHER
Facility Name	FCI TALLADEGA
Street	ATTN HEALTH SERVICES 565 EAST RENFROE RD
City	TALLADEGA
State	AL
ZIP	35160
Phone	(256) 315-4124

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This page was last updated on: 5/11/2023