01D2180270 CLIA NUMBER - ALABAMA HEAD AND NECK, PC

Laboratory Demographics

CLIA Number: 01D2180270

Facility Name: ALABAMA HEAD AND NECK, PC

Facility Address:
730 MEMORIAL DRIVE, SUITE 108
BESSEMER, AL
ZIP 35022
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Facility Phone Number: 205 424-1450

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629089701

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	01D2180270
LAB Type	Physician Office
Facility Name	ALABAMA HEAD AND NECK, PC
Street	730 MEMORIAL DRIVE, SUITE 108
City	BESSEMER
State	AL
ZIP	35022
Phone	205 424-1450
CertificateType	4
CertificateEffectiveDate	3/11/2024
CertificateExpirationDate	3/10/2026
FacilityType	Waiver

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