01D0305143 CLIA NUMBER - OPP FAMILY MEDICINE PC

Laboratory Demographics

  • CLIA Code: 01D0305143
  • Facility Name: OPP FAMILY MEDICINE PC
  • Facility Address: 604 BRANTLEY ST
    OPP, AL
    ZIP 36467
  • Facility Phone: 334 493-4472
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: J MICHAEL STANFIELD
  • NPI Number: 1891989117
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305143
LAB Type Physician Office
Facility Name OPP FAMILY MEDICINE PC
Street 604 BRANTLEY ST
City OPP
State AL
ZIP 36467
Phone 334 493-4472
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 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director J MICHAEL STANFIELD

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