01D2139836 CLIA NUMBER - UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY WEST MOBILE PRIMARY CARE

Laboratory Demographics

  • Code: 01D2139836
  • Facility Name: UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY WEST MOBILE PRIMARY CARE
  • Facility Address: 2423 SCHILLINGERS RD, SUITE 103
    MOBILE, AL
    ZIP 36695
  • Facility Phone: 251 633-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1508392432
  • Taxonomy: 207R00000X - Internal Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D2139836
LAB Type Physician Office
Facility Name UNIVERSITY OF SOUTH ALABAMA HEALTH CARE AUTHORITY WEST MOBILE PRIMARY CARE
Street 2423 SCHILLINGERS RD, SUITE 103
City MOBILE
State AL
ZIP 36695
Phone 251 633-8880
Certificate Type 4
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Waiver

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