01D2290020 CLIA NUMBER - FBL PHYSICIANS, P C

Laboratory Demographics

  • CLIA Code: 01D2290020
  • Facility Name: FBL PHYSICIANS, P C
  • Facility Address: 171 MOBILE INFIRMARY BLVD
    MOBILE, AL
    ZIP 36607
  • Facility Phone: 251 433-8838
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHARON M. BUSH-COAXUM
  • NPI Number: 1780468108
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D2290020
LAB Type Physician Office
Facility Name FBL PHYSICIANS, P C
Street 171 MOBILE INFIRMARY BLVD
City MOBILE
State AL
ZIP 36607
Phone 251 433-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Physician Office
Lab Director DR. SHARON M. BUSH-COAXUM

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This page was last updated on: 9/29/2025