01D0302809 CLIA NUMBER - JACKSON COUNTY FAMILY MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 01D0302809
  • Facility Name: JACKSON COUNTY FAMILY MEDICINE LLC
  • Facility Address: 508 HARLEY STREET SUITE C
    SCOTTSBORO, AL
    ZIP 35768
  • Facility Phone: 256 218-3730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON MCGAUGH
  • NPI Number: 1366868531
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0302809
LAB Type Physician Office
Facility Name JACKSON COUNTY FAMILY MEDICINE LLC
Street 508 HARLEY STREET SUITE C
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 218-3730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director JASON MCGAUGH

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This page was last updated on: 6/4/2025