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01D2128136 CLIA NUMBER - IMAGE OF EVE RESTORED, THE

Laboratory Demographics

CLIA Number: 01D2128136

Facility Name: IMAGE OF EVE RESTORED, THE

Facility Address:
185 WHITESPORT DRIVE SW STE #6
HUNTSVILLE, AL
ZIP 35801
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Facility Phone Number: 256 937-7050

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1083154785

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name Field Value
CLIA Number 01D2128136
LAB Type Physician Office
Facility Name IMAGE OF EVE RESTORED, THE
Street 185 WHITESPORT DRIVE SW STE #6
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 937-7050
CertificateType 3
CertificateEffectiveDate 3/27/2023
CertificateExpirationDate 3/26/2025
FacilityType PPMP

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