Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
01D2314480
|
|
Clinical laboratory number
|
|
Lab Name
|
RENEW HEALTH CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
334-649-3458
|
|
Laboratory telephone number
|
|
Fax
|
949-703-7298
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
105 S WOODBURN DRIVE, STE 2
|
|
Primary location adress line
|
|
City
|
DOTHAN
|
|
Primary location city name
|
|
State
|
AL
|
|
Primary location state name
|
|
Zip
|
36305
|
|
Primary location postal code
|