01D2111530 CLIA NUMBER - SOUTHERN RAPID CARE

Laboratory Demographics

CLIA Number: 01D2111530

Facility Name: SOUTHERN RAPID CARE

Facility Address:
25910 CANAL ROAD, SUITE D
ORANGE BEACH, AL
ZIP 36561
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Facility Phone Number: 251 974-2273

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1770061277

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2111530
LAB Type	Physician Office
Facility Name	SOUTHERN RAPID CARE
Street	25910 CANAL ROAD, SUITE D
City	ORANGE BEACH
State	AL
ZIP	36561
Phone	251 974-2273
CertificateType	2
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Compliance

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