01D0301521 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D0301521
  • Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 513 BROOKWOOD BLVD MEDICAL OFFICE D
    BIRMINGHAM, AL
    ZIP 35209
  • Facility Phone: 205 250-8100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WALLACE PURDY
  • NPI Number: 1104879741
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0301521
LAB Type Physician Office
Facility Name BIRMINGHAM INTERNAL MEDICINE ASSOCIATES
Street 513 BROOKWOOD BLVD MEDICAL OFFICE D
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 250-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. WALLACE PURDY

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