01D2160654 CLIA NUMBER - ROSS BRIDGE MEDICAL CENTER PEDIATRICS

Laboratory Demographics

CLIA Number: 01D2160654

Facility Name: ROSS BRIDGE MEDICAL CENTER PEDIATRICS

Facility Address:
3635 MARKET STREET, SUITE B
HOOVER, AL
ZIP 35226
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Facility Phone Number: (205) 494-7337

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1124590468

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2160654
LAB Type	PHYSICIAN OFFICE
Facility Name	ROSS BRIDGE MEDICAL CENTER PEDIATRICS
Street	3635 MARKET STREET, SUITE B
City	HOOVER
State	AL
ZIP	35226
Phone	(205) 494-7337

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This page was last updated on: 5/11/2023