01D0303749 CLIA NUMBER - TIMOTHY B DECKER DO

Laboratory Demographics

  • CLIA Code: 01D0303749
  • Facility Name: TIMOTHY B DECKER DO
  • Facility Address: 511 MAIN ST SUITE B BOX 1049
    RAINSVILLE, AL
    ZIP 35986
  • Facility Phone: 256 638-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY B. DECKER
  • NPI Number: 1558322941
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0303749
LAB Type Physician Office
Facility Name TIMOTHY B DECKER DO
Street 511 MAIN ST SUITE B BOX 1049
City RAINSVILLE
State AL
ZIP 35986
Phone 256 638-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director TIMOTHY B. DECKER

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