01D0302585 CLIA NUMBER - KILLEN CLINIC PC

Laboratory Demographics

  • CLIA Code: 01D0302585
  • Facility Name: KILLEN CLINIC PC
  • Facility Address: 148 J C MAULDIN HWY
    KILLEN, AL
    ZIP 35645
  • Facility Phone: 256 757-5353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. HOLLIS MD
  • NPI Number: 1891914362
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0302585
LAB Type Physician Office
Facility Name KILLEN CLINIC PC
Street 148 J C MAULDIN HWY
City KILLEN
State AL
ZIP 35645
Phone 256 757-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director DAVID A. HOLLIS MD

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