01D2092056 CLIA NUMBER - SOUTHEAST MEDICAL CENTER

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Laboratory Demographics

CLIA Number: 01D2092056

Facility Name: SOUTHEAST MEDICAL CENTER

Facility Address:
3320 SKYWAY DRIVE, SUITE 807
OPELIKA, AL
ZIP 36801
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Facility Phone Number: (334) 539-1770

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1093122384

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2092056
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHEAST MEDICAL CENTER
Street	3320 SKYWAY DRIVE, SUITE 807
City	OPELIKA
State	AL
ZIP	36801
Phone	(334) 539-1770

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