01D2001905 CLIA NUMBER - FAMILY HEALTH CARE CLINIC, INC

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Laboratory Demographics

CLIA Number: 01D2001905

Facility Name: FAMILY HEALTH CARE CLINIC, INC

Facility Address:
1841 ALABAMA HIGHWAY 20
TOWN CREEK, AL
ZIP 35672
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Facility Phone Number: 601 825-7280

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1730312745

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2001905
LAB Type	Federally Qualified Health Center
Facility Name	FAMILY HEALTH CARE CLINIC, INC
Street	1841 ALABAMA HIGHWAY 20
City	TOWN CREEK
State	AL
ZIP	35672
Phone	601 825-7280
CertificateType	3
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	PPMP

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