01D1062121 CLIA NUMBER - SURGERY CENTER OF CULLMAN,THE

Laboratory Demographics

CLIA Number: 01D1062121

Facility Name: SURGERY CENTER OF CULLMAN,THE

Facility Address:
1403 WALL STREET NE
CULLMAN, AL
ZIP 35055
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Facility Phone Number: (256) 736-2811

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1669481255

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1062121
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	SURGERY CENTER OF CULLMAN,THE
Street	1403 WALL STREET NE
City	CULLMAN
State	AL
ZIP	35055
Phone	(256) 736-2811

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This page was last updated on: 5/11/2023