01D1070863 CLIA NUMBER - CENTRAL FAMILY CLINIC

Laboratory Demographics

CLIA Number: 01D1070863

Facility Name: CENTRAL FAMILY CLINIC

Facility Address:
11348 HIGHWAY 20
FLORENCE, AL
ZIP 35633
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Facility Phone Number: 256 764-6087

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700331006

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1070863
LAB Type	Physician Office
Facility Name	CENTRAL FAMILY CLINIC
Street	11348 HIGHWAY 20
City	FLORENCE
State	AL
ZIP	35633
Phone	256 764-6087
CertificateType	4
CertificateEffectiveDate	7/11/2023
CertificateExpirationDate	7/10/2025
FacilityType	Waiver

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