01D0717190 CLIA NUMBER - DILIP V SHAH MD

Laboratory Demographics

  • Code: 01D0717190
  • Facility Name: DILIP V SHAH MD
  • Facility Address: 1104 1ST STREET NORTH STE 100
    ALABASTER, AL
    ZIP 35007
  • Facility Phone: 205 663-1338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1588633077
  • Taxonomy: 207R00000X - Internal Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0717190
LAB Type Physician Office
Facility Name DILIP V SHAH MD
Street 1104 1ST STREET NORTH STE 100
City ALABASTER
State AL
ZIP 35007
Phone 205 663-1338
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