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01D0990431 CLIA NUMBER - INTERNAL MEDICINE AND PEDIATRICS OF CULLMAN, PC

Laboratory Demographics

CLIA Number: 01D0990431

Facility Name: INTERNAL MEDICINE AND PEDIATRICS OF CULLMAN, PC

Facility Address:
1890 AL HIGHWAY 157, SUITE 430
CULLMAN, AL
ZIP 35058
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Facility Phone Number: 256 739-1575

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1326130550

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 01D0990431
LAB Type Physician Office
Facility Name INTERNAL MEDICINE AND PEDIATRICS OF CULLMAN, PC
Street 1890 AL HIGHWAY 157, SUITE 430
City CULLMAN
State AL
ZIP 35058
Phone 256 739-1575
CertificateType 4
CertificateEffectiveDate 3/31/2023
CertificateExpirationDate 3/30/2025
FacilityType Waiver

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