01D2104550 CLIA NUMBER - MEDMARK TREATMENT CENTERS OF ALABAMA, INC MEDMARK TREATMENT CENTERS OXFORD

Laboratory Demographics

CLIA Number: 01D2104550

Facility Name: MEDMARK TREATMENT CENTERS OF ALABAMA, INC MEDMARK TREATMENT CENTERS OXFORD

Facility Address:
118 E CHOCCOLOCCO ST
OXFORD, AL
ZIP 36203
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Facility Phone Number: 256 831-4601

Facility Type: Other - NARCOTIC TREATMENT PROGRA

Certificate Type: Waiver

NPI Number: 1851761225

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	01D2104550
LAB Type	Other - NARCOTIC TREATMENT PROGRA
Facility Name	MEDMARK TREATMENT CENTERS OF ALABAMA, INC MEDMARK TREATMENT CENTERS OXFORD
Street	118 E CHOCCOLOCCO ST
City	OXFORD
State	AL
ZIP	36203
Phone	256 831-4601
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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