01D0304639 CLIA NUMBER - CLAY COUNTY MEDICAL CLINIC PC

Laboratory Demographics

  • CLIA Code: 01D0304639
  • Facility Name: CLAY COUNTY MEDICAL CLINIC PC
  • Facility Address: 60026 HIGHWAY 49
    LINEVILLE, AL
    ZIP 36266
  • Facility Phone: 256 396-2141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE C. SMITH JR
  • NPI Number: 1376539635
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0304639
LAB Type Physician Office
Facility Name CLAY COUNTY MEDICAL CLINIC PC
Street 60026 HIGHWAY 49
City LINEVILLE
State AL
ZIP 36266
Phone 256 396-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director GEORGE C. SMITH JR

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