01D0305219 CLIA NUMBER - EASTERN SHORE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 01D0305219
  • Facility Name: EASTERN SHORE FAMILY PRACTICE
  • Facility Address: 27961 US HWY 98 SUITE 14
    DAPHNE, AL
    ZIP 36526
  • Facility Phone: 251 626-1175
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW A. SMITH
  • NPI Number: 1033322854
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305219
LAB Type Physician Office
Facility Name EASTERN SHORE FAMILY PRACTICE
Street 27961 US HWY 98 SUITE 14
City DAPHNE
State AL
ZIP 36526
Phone 251 626-1175
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director ANDREW A. SMITH

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