01D1006772 CLIA NUMBER - CLINIC FOR RHEUMATIC DISEASES

Laboratory Demographics

CLIA Number: 01D1006772

Facility Name: CLINIC FOR RHEUMATIC DISEASES

Facility Address:
4280 WATERMELON ROAD, SUITE 112
NORTHPORT, AL
ZIP 35473
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Facility Phone Number: 205 750-0030

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1497739346

Taxonomy: 207RR0500X - Internal Medicine
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

CLIA Record

Field Name	Field Value
CLIA Number	01D1006772
LAB Type	Physician Office
Facility Name	CLINIC FOR RHEUMATIC DISEASES
Street	4280 WATERMELON ROAD, SUITE 112
City	NORTHPORT
State	AL
ZIP	35473
Phone	205 750-0030
CertificateType	2
CertificateEffectiveDate	6/10/2023
CertificateExpirationDate	6/9/2025
FacilityType	Compliance

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