01D1018617 CLIA NUMBER - ERNEST LEE HENDRIX MD PC

Laboratory Demographics

CLIA Number: 01D1018617

Facility Name: ERNEST LEE HENDRIX MD PC

Facility Address:
108 SANDERS STREET
ATHENS, AL
ZIP 35611
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Facility Phone Number: 256 232-0636

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669555835

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D1018617
LAB Type	Physician Office
Facility Name	ERNEST LEE HENDRIX MD PC
Street	108 SANDERS STREET
City	ATHENS
State	AL
ZIP	35611
Phone	256 232-0636
CertificateType	4
CertificateEffectiveDate	10/27/2023
CertificateExpirationDate	10/26/2025
FacilityType	Waiver

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