01D2266206 CLIA NUMBER - MERCY MEDICAL HEALTH CENTER OF GULF SHORES

Laboratory Demographics

CLIA Number: 01D2266206

Facility Name: MERCY MEDICAL HEALTH CENTER OF GULF SHORES

Facility Address:
3849 GULF SHORES PARKWAY, SUITE 9
GULF SHORES, AL
ZIP 36542
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Facility Phone Number: 251 957-8970

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1447827431

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	01D2266206
LAB Type	Independent
Facility Name	MERCY MEDICAL HEALTH CENTER OF GULF SHORES
Street	3849 GULF SHORES PARKWAY, SUITE 9
City	GULF SHORES
State	AL
ZIP	36542
Phone	251 957-8970
CertificateType	4
CertificateEffectiveDate	8/8/2022
CertificateExpirationDate	8/7/2024
FacilityType	Waiver

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