01D2158055 CLIA NUMBER - HEART SOUTH CARDIOVASCULAR GROUP P C OUTPATIENT-BASED LAB

Laboratory Demographics

CLIA Number: 01D2158055

Facility Name: HEART SOUTH CARDIOVASCULAR GROUP P C OUTPATIENT-BASED LAB

Facility Address:
1022 1ST STREET NORTH SUITE 500
ALABASTER, AL
ZIP 35007
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Facility Phone Number: 205 663-5775

Facility Type: Other - POE/OBL

Certificate Type: Accreditation

NPI Number: 1588641005

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name Field Value
CLIA Number 01D2158055
LAB Type Other - POE/OBL
Facility Name HEART SOUTH CARDIOVASCULAR GROUP P C OUTPATIENT-BASED LAB
Street 1022 1ST STREET NORTH SUITE 500
City ALABASTER
State AL
ZIP 35007
Phone 205 663-5775
CertificateType 1
CertificateEffectiveDate 10/23/2023
CertificateExpirationDate 10/22/2025
FacilityType Accreditation

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