01D1075327 CLIA NUMBER - ALABAMA DIGESTIVE HEALTH ENDOSCOPY CTR

Laboratory Demographics

CLIA Number: 01D1075327

Facility Name: ALABAMA DIGESTIVE HEALTH ENDOSCOPY CTR

Facility Address:
2010 BROOKWOOD MED CTR DR SUITE G100
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: 205 877-1187

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1588219711

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1075327
LAB Type	Ambulatory Surgery Center
Facility Name	ALABAMA DIGESTIVE HEALTH ENDOSCOPY CTR
Street	2010 BROOKWOOD MED CTR DR SUITE G100
City	BIRMINGHAM
State	AL
ZIP	35209
Phone	205 877-1187
CertificateType	4
CertificateEffectiveDate	10/17/2023
CertificateExpirationDate	10/16/2025
FacilityType	Waiver

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