01D1073151 CLIA NUMBER - SCOTTSBORO FAMILY PHYSICIANS PC

Laboratory Demographics

CLIA Number: 01D1073151

Facility Name: SCOTTSBORO FAMILY PHYSICIANS PC

Facility Address:
1302 SOUTH BROAD STREET
SCOTTSBORO, AL
ZIP 35768
Get Directions

Facility Phone Number: 256 218-4080

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1700365756

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1073151
LAB Type	Physician Office
Facility Name	SCOTTSBORO FAMILY PHYSICIANS PC
Street	1302 SOUTH BROAD STREET
City	SCOTTSBORO
State	AL
ZIP	35768
Phone	256 218-4080
CertificateType	3
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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