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01D2141241 CLIA NUMBER - CLINIC W, LLC

Laboratory Demographics

CLIA Number: 01D2141241

Facility Name: CLINIC W, LLC

Facility Address:
102 MEDICAL CENTER DR
CLANTON, AL
ZIP 35045
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Facility Phone Number: 205 287-3900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1578087755

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 01D2141241
LAB Type Physician Office
Facility Name CLINIC W, LLC
Street 102 MEDICAL CENTER DR
City CLANTON
State AL
ZIP 35045
Phone 205 287-3900
CertificateType 4
CertificateEffectiveDate 12/11/2023
CertificateExpirationDate 12/10/2025
FacilityType Waiver

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