01D0300111 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 01D0300111
  • Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC
  • Facility Address: 408 CLARK ST NE
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 736-2273
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BEN GREGORY BOSTICK
  • NPI Number: 1114238243
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0300111
LAB Type Physician Office
Facility Name BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC
Street 408 CLARK ST NE
City CULLMAN
State AL
ZIP 35055
Phone 256 736-2273
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director BEN GREGORY BOSTICK

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This page was last updated on: 6/4/2025