01D0301989 CLIA NUMBER - JASPER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 01D0301989
  • Facility Name: JASPER FAMILY PRACTICE
  • Facility Address: 2201 NORTH AIRPORT ROAD
    JASPER, AL
    ZIP 35504
  • Facility Phone: 205 300-3494
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JOHN BIVONA
  • NPI Number: 1275535361
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0301989
LAB Type Physician Office
Facility Name JASPER FAMILY PRACTICE
Street 2201 NORTH AIRPORT ROAD
City JASPER
State AL
ZIP 35504
Phone 205 300-3494
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 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Physician Office
Lab Director JOHN BIVONA

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