01D2072701 CLIA NUMBER - CLAY QUALITY HEALTH CARE

Laboratory Demographics

CLIA Number: 01D2072701

Facility Name: CLAY QUALITY HEALTH CARE

Facility Address:
40745 HIGHWAY 77
ASHLAND, AL
ZIP 36251
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Facility Phone Number: 256 439-6396

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1598187783

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D2072701
LAB Type Federally Qualified Health Center
Facility Name CLAY QUALITY HEALTH CARE
Street 40745 HIGHWAY 77
City ASHLAND
State AL
ZIP 36251
Phone 256 439-6396
CertificateType 4
CertificateEffectiveDate 2/4/2024
CertificateExpirationDate 2/3/2026
FacilityType Waiver

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