01D0909252 CLIA NUMBER - ASCENSION SACRED HEART MEDICAL GROUP FOLEY

Laboratory Demographics

CLIA Number: 01D0909252

Facility Name: ASCENSION SACRED HEART MEDICAL GROUP FOLEY

Facility Address:
1851 N MCKENZIE STREET, SUITE 206
FOLEY, AL
ZIP 36535
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Facility Phone Number: (251) 943-8515

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1619928165

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0909252
LAB Type	PHYSICIAN OFFICE
Facility Name	ASCENSION SACRED HEART MEDICAL GROUP FOLEY
Street	1851 N MCKENZIE STREET, SUITE 206
City	FOLEY
State	AL
ZIP	36535
Phone	(251) 943-8515

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This page was last updated on: 5/11/2023