01D1105529 CLIA NUMBER - AMERICAN FAMILY CARE - THE GROVE

Laboratory Demographics

CLIA Number: 01D1105529

Facility Name: AMERICAN FAMILY CARE - THE GROVE

Facility Address:
5569 GROVE BLVD SUITE 121
BLUFF PARK, AL
ZIP 35226
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Facility Phone Number: 205 421-2137

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1720311392

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D1105529
LAB Type	Physician Office
Facility Name	AMERICAN FAMILY CARE - THE GROVE
Street	5569 GROVE BLVD SUITE 121
City	BLUFF PARK
State	AL
ZIP	35226
Phone	205 421-2137
CertificateType	1
CertificateEffectiveDate	12/8/2022
CertificateExpirationDate	12/7/2024
FacilityType	Accreditation

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