01D2090923 CLIA NUMBER - FAMILY MEDICINE SPECIALIST

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Laboratory Demographics

CLIA Number: 01D2090923

Facility Name: FAMILY MEDICINE SPECIALIST

Facility Address:
8367 MORPHY AVE STE B
FAIRHOPE, AL
ZIP 36532
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Facility Phone Number: 251 410-6334

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043618226

Taxonomy: 173000000X - Legal Medicine
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

CLIA Record

Field Name	Field Value
CLIA Number	01D2090923
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE SPECIALIST
Street	8367 MORPHY AVE STE B
City	FAIRHOPE
State	AL
ZIP	36532
Phone	251 410-6334
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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