01D0302968 CLIA NUMBER - TWICKENHAM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D0302968
  • Facility Name: TWICKENHAM PEDIATRICS
  • Facility Address: 115 MANNING DRIVE SUITE A 101
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 533-1030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MURIEL A. DESIMONE
  • NPI Number: 1861530776
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0302968
LAB Type Physician Office
Facility Name TWICKENHAM PEDIATRICS
Street 115 MANNING DRIVE SUITE A 101
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 533-1030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. MURIEL A. DESIMONE

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