01D0918931 CLIA NUMBER - CHILTON PEDIATRICS OF ALABAMA

Laboratory Demographics

CLIA Number: 01D0918931

Facility Name: CHILTON PEDIATRICS OF ALABAMA

Facility Address:
303 FIRST STREET NORTH
CLANTON, AL
ZIP 35045
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Facility Phone Number: 205 280-3333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235299777

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0918931
LAB Type	Physician Office
Facility Name	CHILTON PEDIATRICS OF ALABAMA
Street	303 FIRST STREET NORTH
City	CLANTON
State	AL
ZIP	35045
Phone	205 280-3333
CertificateType	4
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	Waiver

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