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01D1054322 CLIA NUMBER - JACK HUGHSTON MEMORIAL HOSPITAL LAB

Laboratory Demographics

CLIA Number: 01D1054322

Facility Name: JACK HUGHSTON MEMORIAL HOSPITAL LAB

Facility Address:
4401 RIVER CHASE DRIVE
PHENIX CITY, AL
ZIP 36867
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Facility Phone Number: 334 732-3277

Facility Type: Hospital

Certificate Type: Accreditation
NPI Number: 1023050101

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 01D1054322
LAB Type Hospital
Facility Name JACK HUGHSTON MEMORIAL HOSPITAL LAB
Street 4401 RIVER CHASE DRIVE
City PHENIX CITY
State AL
ZIP 36867
Phone 334 732-3277
CertificateType 1
CertificateEffectiveDate 11/6/2022
CertificateExpirationDate 11/5/2024
FacilityType Accreditation

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