01D1011038 CLIA NUMBER - PUROHIT PEDIATRIC CLINIC

Laboratory Demographics

CLIA Number: 01D1011038

Facility Name: PUROHIT PEDIATRIC CLINIC

Facility Address:
516 QUINTARD AVENUE
ANNISTON, AL
ZIP 36201
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Facility Phone Number: 256 741-9799

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1790971166

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	01D1011038
LAB Type	Physician Office
Facility Name	PUROHIT PEDIATRIC CLINIC
Street	516 QUINTARD AVENUE
City	ANNISTON
State	AL
ZIP	36201
Phone	256 741-9799
CertificateType	2
CertificateEffectiveDate	10/17/2023
CertificateExpirationDate	10/16/2025
FacilityType	Compliance

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