01D0711019 CLIA NUMBER - ENDOCRINOLOGY & DIABETES CLINIC

Laboratory Demographics

  • Code: 01D0711019
  • Facility Name: ENDOCRINOLOGY & DIABETES CLINIC
  • Facility Address: 541 W COLLEGE ST STE 3400 ELM MED BLDG
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 766-3003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1508045170
  • Taxonomy: 207RE0101X - Internal Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0711019
LAB Type Physician Office
Facility Name ENDOCRINOLOGY & DIABETES CLINIC
Street 541 W COLLEGE ST STE 3400 ELM MED BLDG
City FLORENCE
State AL
ZIP 35630
Phone 256 766-3003
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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