01D0300744 CLIA NUMBER - BRUCE PAVA MD

Laboratory Demographics

  • CLIA Code: 01D0300744
  • Facility Name: BRUCE PAVA MD
  • Facility Address: 52 MEDICAL PARK DRIVE EAST SUITE 317
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 599-3990
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRUCE M. PAVA
  • NPI Number: 1821083569
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0300744
LAB Type Physician Office
Facility Name BRUCE PAVA MD
Street 52 MEDICAL PARK DRIVE EAST SUITE 317
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 599-3990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director BRUCE M. PAVA

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