01D0301932 CLIA NUMBER - WEST ALABAMA FAMILY PRACT & SPORTS MED

Laboratory Demographics

  • CLIA Code: 01D0301932
  • Facility Name: WEST ALABAMA FAMILY PRACT & SPORTS MED
  • Facility Address: 100 RICE MINE ROAD LOOP SUITE 206
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 339-0171
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CRAIG M. BUETTNER MD
  • NPI Number: 1376615476
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0301932
LAB Type Physician Office
Facility Name WEST ALABAMA FAMILY PRACT & SPORTS MED
Street 100 RICE MINE ROAD LOOP SUITE 206
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 339-0171
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CRAIG M. BUETTNER MD

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