01D0304515 CLIA NUMBER - ANNISTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 01D0304515
  • Facility Name: ANNISTON MEDICAL CLINIC
  • Facility Address: 1010 CHRISTINE AVE
    ANNISTON, AL
    ZIP 36207
  • Facility Phone: 256 236-5631
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZULFIQAR RANA
  • NPI Number: 1619080017
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0304515
LAB Type Physician Office
Facility Name ANNISTON MEDICAL CLINIC
Street 1010 CHRISTINE AVE
City ANNISTON
State AL
ZIP 36207
Phone 256 236-5631
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ZULFIQAR RANA

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