01D0301383 CLIA NUMBER - OVER THE MOUNTAIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D0301383
  • Facility Name: OVER THE MOUNTAIN PEDIATRICS
  • Facility Address: 3300 CAHABA ROAD 102
    BIRMINGHAM, AL
    ZIP 35223
  • Facility Phone: 205 870-7292
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. MELISA WILSON
  • NPI Number: 1700963345
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0301383
LAB Type Physician Office
Facility Name OVER THE MOUNTAIN PEDIATRICS
Street 3300 CAHABA ROAD 102
City BIRMINGHAM
State AL
ZIP 35223
Phone 205 870-7292
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director DR. MELISA WILSON

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