01D0941978 CLIA NUMBER - CANTERBERRY FAMILY MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 01D0941978

Facility Name: CANTERBERRY FAMILY MEDICAL CENTER

Facility Address:
502 N 27TH STREET
GADSDEN, AL
ZIP 35904
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Facility Phone Number: 256 546-0073

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1902856214

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0941978
LAB Type	Federally Qualified Health Center
Facility Name	CANTERBERRY FAMILY MEDICAL CENTER
Street	502 N 27TH STREET
City	GADSDEN
State	AL
ZIP	35904
Phone	256 546-0073
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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