01D0303898 CLIA NUMBER - COMMUNITY HOSPITAL CLINICAL LAB-CMAC

Laboratory Demographics

  • CLIA Code: 01D0303898
  • Facility Name: COMMUNITY HOSPITAL CLINICAL LAB-CMAC
  • Facility Address: 875 FRIENDSHIP ROAD
    TALLASSEE, AL
    ZIP 36078
  • Facility Phone: 334 283-6541
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEATHER M. BRAWNER
  • NPI Number: 1568590339
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 01D0303898
LAB Type Physician Office
Facility Name COMMUNITY HOSPITAL CLINICAL LAB-CMAC
Street 875 FRIENDSHIP ROAD
City TALLASSEE
State AL
ZIP 36078
Phone 334 283-6541
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director HEATHER M. BRAWNER

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This page was last updated on: 3/20/2025