01D0300023 CLIA NUMBER - BIBB MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D0300023
  • Facility Name: BIBB MEDICAL ASSOCIATES
  • Facility Address: 208 PIERSON AVENUE
    CENTREVILLE, AL
    ZIP 35042
  • Facility Phone: 205 926-4646
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LATA PATIL MD
  • NPI Number: 1588131643
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0300023
LAB Type Physician Office
Facility Name BIBB MEDICAL ASSOCIATES
Street 208 PIERSON AVENUE
City CENTREVILLE
State AL
ZIP 35042
Phone 205 926-4646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2023
Certificate Expiration Date 4/30/2025
Facility Type Physician Office
Lab Director DR. LATA PATIL MD

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This page was last updated on: 3/20/2025