01D0302538 CLIA NUMBER - SHOALS PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 01D0302538
  • Facility Name: SHOALS PEDIATRIC GROUP
  • Facility Address: 208 ANA DRIVE
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 766-3983
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JUDY T. MOORE
  • NPI Number: 1609971647
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0302538
LAB Type Physician Office
Facility Name SHOALS PEDIATRIC GROUP
Street 208 ANA DRIVE
City FLORENCE
State AL
ZIP 35630
Phone 256 766-3983
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director JUDY T. MOORE

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