01D2009504 CLIA NUMBER - PEDIATRICS PLUS, PC

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Laboratory Demographics

CLIA Number: 01D2009504

Facility Name: PEDIATRICS PLUS, PC

Facility Address:
3312 HENRY ROAD
ANNISTON, AL
ZIP 36207
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Facility Phone Number: 256 241-2671

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1104137439

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	01D2009504
LAB Type	Physician Office
Facility Name	PEDIATRICS PLUS, PC
Street	3312 HENRY ROAD
City	ANNISTON
State	AL
ZIP	36207
Phone	256 241-2671
CertificateType	1
CertificateEffectiveDate	11/14/2023
CertificateExpirationDate	11/13/2025
FacilityType	Accreditation

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