01D2220307 CLIA NUMBER - BIRMINGHAM RECOVERY CENTER INC

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Laboratory Demographics

CLIA Number: 01D2220307

Facility Name: BIRMINGHAM RECOVERY CENTER INC

Facility Address:
2501 INTERNATIONAL PARK DRIVE
BIRMINGHAM, AL
ZIP 35243
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Facility Phone Number: 205 813-7400

Facility Type: Other - SUBSTANCE ABUSE FACILITY

Certificate Type: Waiver

NPI Number: 1407612633

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D2220307
LAB Type	Other - SUBSTANCE ABUSE FACILITY
Facility Name	BIRMINGHAM RECOVERY CENTER INC
Street	2501 INTERNATIONAL PARK DRIVE
City	BIRMINGHAM
State	AL
ZIP	35243
Phone	205 813-7400
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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