Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
01D2190669
|
|
Clinical laboratory number
|
|
Lab Name
|
MAIN STREET CLINIC LLC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
256-418-4300
|
|
Laboratory telephone number
|
|
Fax
|
888-827-8932
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
2850 DR JOHN HAYNES DRIVE
|
|
Primary location adress line
|
|
City
|
PELL CITY
|
|
Primary location city name
|
|
State
|
AL
|
|
Primary location state name
|
|
Zip
|
35125
|
|
Primary location postal code
|