01D0998129 CLIA NUMBER - GYNECOLOGY & WELLNESS CENTER

Laboratory Demographics

CLIA Number: 01D0998129

Facility Name: GYNECOLOGY & WELLNESS CENTER

Facility Address:
2290 MOORES MILL ROAD SUITE 200
AUBURN, AL
ZIP 36830
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Facility Phone Number: 334 502-9888

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871615997

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0998129
LAB Type Physician Office
Facility Name GYNECOLOGY & WELLNESS CENTER
Street 2290 MOORES MILL ROAD SUITE 200
City AUBURN
State AL
ZIP 36830
Phone 334 502-9888
CertificateType 4
CertificateEffectiveDate 4/5/2024
CertificateExpirationDate 4/4/2026
FacilityType Waiver

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