01D2061688 CLIA NUMBER - LUNG CARE PC

Home > CLIA Lookup > 01D2061688

Laboratory Demographics

CLIA Number: 01D2061688

Facility Name: LUNG CARE PC

Facility Address:
315 WEST FORT WILLIAMS ST, SUITE 100
SYLACAUGA, AL
ZIP 35150
Get Directions

Facility Phone Number: 256 401-0390

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609116938

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D2061688
LAB Type	Physician Office
Facility Name	LUNG CARE PC
Street	315 WEST FORT WILLIAMS ST, SUITE 100
City	SYLACAUGA
State	AL
ZIP	35150
Phone	256 401-0390
CertificateType	4
CertificateEffectiveDate	7/2/2023
CertificateExpirationDate	7/1/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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