01D0302125 CLIA NUMBER - MEDICAL CLINIC OF RED BAY

Laboratory Demographics

  • CLIA Code: 01D0302125
  • Facility Name: MEDICAL CLINIC OF RED BAY
  • Facility Address: 209 HOSPITAL ROAD
    RED BAY, AL
    ZIP 35582
  • Facility Phone: 256 356-9511
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAYNARD G. FABIANKE

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CLIA Record

Field Name Field Value
CLIA Number 01D0302125
LAB Type Physician Office
Facility Name MEDICAL CLINIC OF RED BAY
Street 209 HOSPITAL ROAD
City RED BAY
State AL
ZIP 35582
Phone 256 356-9511
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 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director RAYNARD G. FABIANKE

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This page was last updated on: 3/20/2025