01D0300395 CLIA NUMBER - COOSA VALLEY MEDICAL CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 01D0300395
  • Facility Name: COOSA VALLEY MEDICAL CENTER LABORATORY
  • Facility Address: 315 WEST HICKORY STREET
    SYLACAUGA, AL
    ZIP 35150
  • Facility Phone: 256 401-4307
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: LAURA G. DEICHMANN MD
  • NPI Number: 1720524689
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0300395
LAB Type Hospital
Facility Name COOSA VALLEY MEDICAL CENTER LABORATORY
Street 315 WEST HICKORY STREET
City SYLACAUGA
State AL
ZIP 35150
Phone 256 401-4307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Hospital
Lab Director LAURA G. DEICHMANN MD

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