01D1078823 CLIA NUMBER - WADDELL CENTER FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 01D1078823

Facility Name: WADDELL CENTER FAMILY MEDICINE

Facility Address:
902 W WASHINGTON STREET
ATHENS, AL
ZIP 35611
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Facility Phone Number: 256 216-9777

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104353226

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D1078823
LAB Type	Physician Office
Facility Name	WADDELL CENTER FAMILY MEDICINE
Street	902 W WASHINGTON STREET
City	ATHENS
State	AL
ZIP	35611
Phone	256 216-9777
CertificateType	4
CertificateEffectiveDate	1/16/2024
CertificateExpirationDate	1/15/2026
FacilityType	Waiver

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