01D0302155 CLIA NUMBER - WINFIELD PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 01D0302155
  • Facility Name: WINFIELD PEDIATRIC CLINIC
  • Facility Address: 3400 HWY 78 SUITE 318
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 221-4801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES G. WILBANKS
  • NPI Number: 1821282070
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0302155
LAB Type Physician Office
Facility Name WINFIELD PEDIATRIC CLINIC
Street 3400 HWY 78 SUITE 318
City JASPER
State AL
ZIP 35501
Phone 205 221-4801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2024
Certificate Expiration Date 10/19/2026
Facility Type Physician Office
Lab Director JAMES G. WILBANKS

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