01D2110277 CLIA NUMBER - CARY CREEK MEDICAL BEAUREGARD CLINIC PC

Laboratory Demographics

CLIA Number: 01D2110277

Facility Name: CARY CREEK MEDICAL BEAUREGARD CLINIC PC

Facility Address:
7667 AL HIGHWAY 51 SUITE B
OPELIKA, AL
ZIP 36804
Get Directions

Facility Phone Number: 334 737-5557

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265687818

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2110277
LAB Type	Physician Office
Facility Name	CARY CREEK MEDICAL BEAUREGARD CLINIC PC
Street	7667 AL HIGHWAY 51 SUITE B
City	OPELIKA
State	AL
ZIP	36804
Phone	334 737-5557
CertificateType	4
CertificateEffectiveDate	8/13/2023
CertificateExpirationDate	8/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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