01D1093073 CLIA NUMBER - PRINCETON BAPT MED CTR EMPLOYEE HEALTH

Laboratory Demographics

CLIA Number: 01D1093073

Facility Name: PRINCETON BAPT MED CTR EMPLOYEE HEALTH

Facility Address:
833 PRINCETON AVE SW POB III SUITE 150
BIRMINGHAM, AL
ZIP 35211
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Facility Phone Number: 205 783-3759

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1134178387

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D1093073
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	PRINCETON BAPT MED CTR EMPLOYEE HEALTH
Street	833 PRINCETON AVE SW POB III SUITE 150
City	BIRMINGHAM
State	AL
ZIP	35211
Phone	205 783-3759
CertificateType	4
CertificateEffectiveDate	12/10/2022
CertificateExpirationDate	12/9/2024
FacilityType	Waiver

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