01D0300111 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC CULLMANPRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D0300111
  • Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES, LLC CULLMANPRIMARY CARE
  • Facility Address: 408 CLARK ST NE
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 371-5427
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NATHANIEL BURNHAM
  • 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 CULLMANPRIMARY CARE
Street 408 CLARK ST NE
City CULLMAN
State AL
ZIP 35055
Phone 256 371-5427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Physician Office
Lab Director DR. NATHANIEL BURNHAM

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