01D0305054 CLIA NUMBER - COVINGTON GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 01D0305054
  • Facility Name: COVINGTON GYNECOLOGY
  • Facility Address: 115 MEDICAL PARK DRIVE
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 222-5781
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL A. WELLS
  • NPI Number: 1518137694
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D0305054
LAB Type Physician Office
Facility Name COVINGTON GYNECOLOGY
Street 115 MEDICAL PARK DRIVE
City ANDALUSIA
State AL
ZIP 36420
Phone 334 222-5781
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director MICHAEL A. WELLS

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