01D0026952 CLIA NUMBER - LAWRENCE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 01D0026952
  • Facility Name: LAWRENCE MEDICAL CENTER
  • Facility Address: 202 HOSPITAL STREET
    MOULTON, AL
    ZIP 35650
  • Facility Phone: 256 974-2221
  • Facility Type: Other - LAB DRAWING SERVICE
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN S. TAN
  • NPI Number: 1750802906
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 01D0026952
LAB Type Other - LAB DRAWING SERVICE
Facility Name LAWRENCE MEDICAL CENTER
Street 202 HOSPITAL STREET
City MOULTON
State AL
ZIP 35650
Phone 256 974-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/4/2025
Certificate Expiration Date 7/3/2027
Facility Type Other - LAB DRAWING SERVICE
Lab Director JOHNATHAN S. TAN

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