01D0301040 CLIA NUMBER - SANDRA M FORD MD

Laboratory Demographics

  • CLIA Code: 01D0301040
  • Facility Name: SANDRA M FORD MD
  • Facility Address: 516 TUSCALOOSA AVE SW
    BIRMINGHAM, AL
    ZIP 35211
  • Facility Phone: 205 786-1025
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHIRLEY WARE
  • NPI Number: 1447318357
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0301040
LAB Type Physician Office
Facility Name SANDRA M FORD MD
Street 516 TUSCALOOSA AVE SW
City BIRMINGHAM
State AL
ZIP 35211
Phone 205 786-1025
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 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director SHIRLEY WARE

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