01D1104320 CLIA NUMBER - WEST LIMESTONE COMMUNITY CARE

Laboratory Demographics

CLIA Number: 01D1104320

Facility Name: WEST LIMESTONE COMMUNITY CARE

Facility Address:
28730 ALABAMA HIGHWAY 99 SUITE A
ELKMONT, AL
ZIP 35620
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Facility Phone Number: 256 232-1400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1760614796

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	01D1104320
LAB Type	Physician Office
Facility Name	WEST LIMESTONE COMMUNITY CARE
Street	28730 ALABAMA HIGHWAY 99 SUITE A
City	ELKMONT
State	AL
ZIP	35620
Phone	256 232-1400
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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