01D0966034 CLIA NUMBER - NORTHEAST ALABAMA HEALTH SERVICES INC - SKYLINE

Laboratory Demographics

CLIA Number: 01D0966034

Facility Name: NORTHEAST ALABAMA HEALTH SERVICES INC - SKYLINE

Facility Address:
21680 AL HWY 79
SCOTTSBORO, AL
ZIP 35768
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Facility Phone Number: 256 587-3050

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1093862237

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0966034
LAB Type	Community Clinic
Facility Name	NORTHEAST ALABAMA HEALTH SERVICES INC - SKYLINE
Street	21680 AL HWY 79
City	SCOTTSBORO
State	AL
ZIP	35768
Phone	256 587-3050
CertificateType	4
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	Waiver

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