01D0304176 CLIA NUMBER - MONTGOMERY RHEUMATOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D0304176
  • Facility Name: MONTGOMERY RHEUMATOLOGY ASSOCIATES
  • Facility Address: 1421 NARROW LANE PARKWAY
    MONTGOMERY, AL
    ZIP 36111
  • Facility Phone: 334 284-3105
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAMES JAKES
  • NPI Number: 1992872683
  • Taxonomy: 207RR0500X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0304176
LAB Type Practitioner Other
Facility Name MONTGOMERY RHEUMATOLOGY ASSOCIATES
Street 1421 NARROW LANE PARKWAY
City MONTGOMERY
State AL
ZIP 36111
Phone 334 284-3105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Practitioner Other
Lab Director JAMES JAKES

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