01D2067735 CLIA NUMBER - ROANOKE RURAL HEALTH CLINIC

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Laboratory Demographics

CLIA Number: 01D2067735

Facility Name: ROANOKE RURAL HEALTH CLINIC

Facility Address:
1950 MAIN STREET
ROANOKE, AL
ZIP 36274
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Facility Phone Number: (334) 863-2311

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1497041834

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2067735
LAB Type	RURAL HEALTH CLINIC
Facility Name	ROANOKE RURAL HEALTH CLINIC
Street	1950 MAIN STREET
City	ROANOKE
State	AL
ZIP	36274
Phone	(334) 863-2311

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This page was last updated on: 5/11/2023