01D1106301 CLIA NUMBER - PULMONARY & SLEEP ASSOCIATES OF JASPER

Laboratory Demographics

CLIA Number: 01D1106301

Facility Name: PULMONARY & SLEEP ASSOCIATES OF JASPER

Facility Address:
1280 SUMMIT DRIVE
JASPER, AL
ZIP 35501
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Facility Phone Number: 205 387-7555

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669410700

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	01D1106301
LAB Type	Physician Office
Facility Name	PULMONARY & SLEEP ASSOCIATES OF JASPER
Street	1280 SUMMIT DRIVE
City	JASPER
State	AL
ZIP	35501
Phone	205 387-7555
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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