01D2217823 CLIA NUMBER - CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC

Laboratory Demographics

CLIA Number: 01D2217823

Facility Name: CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC

Facility Address:
645 MCQUEEN SMITH ROAD N, SUITE 210
PRATTVILLE, AL
ZIP 36066
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Facility Phone Number: 334 380-3714

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255799847

Taxonomy: 2085R0202X - Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

CLIA Record

Field Name	Field Value
CLIA Number	01D2217823
LAB Type	Physician Office
Facility Name	CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC
Street	645 MCQUEEN SMITH ROAD N, SUITE 210
City	PRATTVILLE
State	AL
ZIP	36066
Phone	334 380-3714
CertificateType	4
CertificateEffectiveDate	3/24/2023
CertificateExpirationDate	3/23/2025
FacilityType	Waiver

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