01D2082079 CLIA NUMBER - CHILTON URGENT CARE

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Laboratory Demographics

CLIA Number: 01D2082079

Facility Name: CHILTON URGENT CARE

Facility Address:
1210 7TH STREET SOUTH
CLANTON, AL
ZIP 35045
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Facility Phone Number: 205 280-0620

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1366857674

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2082079
LAB Type	Physician Office
Facility Name	CHILTON URGENT CARE
Street	1210 7TH STREET SOUTH
City	CLANTON
State	AL
ZIP	35045
Phone	205 280-0620
CertificateType	2
CertificateEffectiveDate	12/16/2022
CertificateExpirationDate	12/15/2024
FacilityType	Compliance

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