01D2255793 CLIA NUMBER - ROBERTS CLINIC-CASTLEBERRY

Laboratory Demographics

CLIA Number: 01D2255793

Facility Name: ROBERTS CLINIC-CASTLEBERRY

Facility Address:
11766 COUNTY ROAD 6
CASTLEBERRY, AL
ZIP 36432
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Facility Phone Number: 251 578-4300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952466211

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D2255793
LAB Type	Physician Office
Facility Name	ROBERTS CLINIC-CASTLEBERRY
Street	11766 COUNTY ROAD 6
City	CASTLEBERRY
State	AL
ZIP	36432
Phone	251 578-4300
CertificateType	4
CertificateEffectiveDate	3/17/2024
CertificateExpirationDate	3/16/2026
FacilityType	Waiver

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