01D0928122 CLIA NUMBER - CULLMAN QUALITY CARE

Laboratory Demographics

CLIA Number: 01D0928122

Facility Name: CULLMAN QUALITY CARE

Facility Address:
2016 MAIN AVENUE SW
CULLMAN, AL
ZIP 35055
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Facility Phone Number: 256 775-0230

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1467402768

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0928122
LAB Type	Federally Qualified Health Center
Facility Name	CULLMAN QUALITY CARE
Street	2016 MAIN AVENUE SW
City	CULLMAN
State	AL
ZIP	35055
Phone	256 775-0230
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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