01D2079572 CLIA NUMBER - COMPASS PROVIDENCE URGENT CARE, LLLP

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Laboratory Demographics

CLIA Number: 01D2079572

Facility Name: COMPASS PROVIDENCE URGENT CARE, LLLP

Facility Address:
6901 AIRPORT BLVD
MOBILE, AL
ZIP 36608
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Facility Phone Number: 251 634-2273

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1770997579

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2079572
LAB Type	Physician Office
Facility Name	COMPASS PROVIDENCE URGENT CARE, LLLP
Street	6901 AIRPORT BLVD
City	MOBILE
State	AL
ZIP	36608
Phone	251 634-2273
CertificateType	2
CertificateEffectiveDate	4/30/2023
CertificateExpirationDate	4/29/2025
FacilityType	Compliance

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