01D1101863 CLIA NUMBER - SALAME HEART & VASCULAR CLINIC LLC

Laboratory Demographics

CLIA Number: 01D1101863

Facility Name: SALAME HEART & VASCULAR CLINIC LLC

Facility Address:
1031 QUINTARD AVE STE 1A
ANNISTON, AL
ZIP 36207
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Facility Phone Number: 256 231-2552

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437390184

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	01D1101863
LAB Type	Physician Office
Facility Name	SALAME HEART & VASCULAR CLINIC LLC
Street	1031 QUINTARD AVE STE 1A
City	ANNISTON
State	AL
ZIP	36207
Phone	256 231-2552
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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