01D2189964 CLIA NUMBER - HEALTHCARE CONNECTIONS COMMUNITY HEALTH SERV LLC

Laboratory Demographics

CLIA Number: 01D2189964

Facility Name: HEALTHCARE CONNECTIONS COMMUNITY HEALTH SERV LLC

Facility Address:
914 RIDERWOOD DRIVE
BUTLER, AL
ZIP 36904
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Facility Phone Number: 205 604-9027

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1245855261

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2189964
LAB Type	Community Clinic
Facility Name	HEALTHCARE CONNECTIONS COMMUNITY HEALTH SERV LLC
Street	914 RIDERWOOD DRIVE
City	BUTLER
State	AL
ZIP	36904
Phone	205 604-9027
CertificateType	4
CertificateEffectiveDate	8/7/2022
CertificateExpirationDate	8/6/2024
FacilityType	Waiver

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