01D0720846 CLIA NUMBER - REDMONT PEDIATRIC ASSOCIATES

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Laboratory Demographics

CLIA Number: 01D0720846

Facility Name: REDMONT PEDIATRIC ASSOCIATES

Facility Address:
805 ST VINCENT'S DRIVE, SUITE 430
BIRMINGHAM, AL
ZIP 35205
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Facility Phone Number: 205 939-1250

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1700081031

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D0720846
LAB Type	Physician Office
Facility Name	REDMONT PEDIATRIC ASSOCIATES
Street	805 ST VINCENT'S DRIVE, SUITE 430
City	BIRMINGHAM
State	AL
ZIP	35205
Phone	205 939-1250
CertificateType	2
CertificateEffectiveDate	6/20/2022
CertificateExpirationDate	6/19/2024
FacilityType	Compliance

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