01D0893685 CLIA NUMBER - LAWRENCE RURAL HEALTH CLINIC - COURTLAND

Laboratory Demographics

CLIA Number: 01D0893685

Facility Name: LAWRENCE RURAL HEALTH CLINIC - COURTLAND

Facility Address:
350 TENNESSEE STREET
COURTLAND, AL
ZIP 35618
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Facility Phone Number: 256 637-8033

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1033155791

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0893685
LAB Type	Rural Health Clinic
Facility Name	LAWRENCE RURAL HEALTH CLINIC - COURTLAND
Street	350 TENNESSEE STREET
City	COURTLAND
State	AL
ZIP	35618
Phone	256 637-8033
CertificateType	4
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	Waiver

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