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01D0705732 CLIA NUMBER - LANE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 01D0705732

Facility Name: LANE MEDICAL GROUP

Facility Address:
129 WHETSTONE ST
MONROEVILLE, AL
ZIP 36460
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Facility Phone Number: (251) 575-3939

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1194863340

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name Field Value
CLIA Number 01D0705732
LAB Type PHYSICIAN OFFICE
Facility Name LANE MEDICAL GROUP
Street 129 WHETSTONE ST
City MONROEVILLE
State AL
ZIP 36460
Phone (251) 575-3939

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