01D1044413 CLIA NUMBER - ANNISTON WELLNESS CENTER

Laboratory Demographics

CLIA Number: 01D1044413

Facility Name: ANNISTON WELLNESS CENTER

Facility Address:
1400 LEIGHTON AVENUE
ANNISTON, AL
ZIP 36207
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Facility Phone Number: 256 237-7990

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477527034

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 01D1044413
LAB Type Physician Office
Facility Name ANNISTON WELLNESS CENTER
Street 1400 LEIGHTON AVENUE
City ANNISTON
State AL
ZIP 36207
Phone 256 237-7990
CertificateType 4
CertificateEffectiveDate 2/16/2023
CertificateExpirationDate 2/15/2025
FacilityType Waiver

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