01D2008803 CLIA NUMBER - CHILDERSBURG OUTPATIENT CLINIC

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Laboratory Demographics

CLIA Number: 01D2008803

Facility Name: CHILDERSBURG OUTPATIENT CLINIC

Facility Address:
151 9TH AVENUE NW
CHILDERSBURG, AL
ZIP 35044
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Facility Phone Number: 256 378-9026

Facility Type: Community Clinic

Certificate Type: Accreditation

NPI Number: 1013195254

Taxonomy: 293D00000X - Physiological Laboratory
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

CLIA Record

Field Name	Field Value
CLIA Number	01D2008803
LAB Type	Community Clinic
Facility Name	CHILDERSBURG OUTPATIENT CLINIC
Street	151 9TH AVENUE NW
City	CHILDERSBURG
State	AL
ZIP	35044
Phone	256 378-9026
CertificateType	1
CertificateEffectiveDate	6/18/2010
CertificateExpirationDate	5/22/2026
FacilityType	Accreditation

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