01D2174474 CLIA NUMBER - CHRIST HEALTH CENTER INC

Laboratory Demographics

CLIA Number: 01D2174474

Facility Name: CHRIST HEALTH CENTER INC

Facility Address:
5804 1ST AVE SOUTH
BIRMINGHAM, AL
ZIP 35212
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Facility Phone Number: 205 380-9447

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417426701

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2174474
LAB Type	Physician Office
Facility Name	CHRIST HEALTH CENTER INC
Street	5804 1ST AVE SOUTH
City	BIRMINGHAM
State	AL
ZIP	35212
Phone	205 380-9447
CertificateType	4
CertificateEffectiveDate	11/1/2023
CertificateExpirationDate	10/31/2025
FacilityType	Waiver

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