01D0300154 CLIA NUMBER - CULLMAN UROLOGY

Laboratory Demographics

  • CLIA Code: 01D0300154
  • Facility Name: CULLMAN UROLOGY
  • Facility Address: 1848 PARK LAND DRIVE
    CULLMAN, AL
    ZIP 35058
  • Facility Phone: 256 739-2885
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NICHOLAS T. BRASWELL
  • NPI Number: 1275595183
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 01D0300154
LAB Type Physician Office
Facility Name CULLMAN UROLOGY
Street 1848 PARK LAND DRIVE
City CULLMAN
State AL
ZIP 35058
Phone 256 739-2885
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/27/2023
Certificate Expiration Date 9/26/2025
Facility Type Physician Office
Lab Director NICHOLAS T. BRASWELL

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