01D0305352 CLIA NUMBER - FAMILY MEDICAL CLINIC OF JACKSON

Laboratory Demographics

  • CLIA Code: 01D0305352
  • Facility Name: FAMILY MEDICAL CLINIC OF JACKSON
  • Facility Address: 226 HOSPITAL DRIVE
    JACKSON, AL
    ZIP 36545
  • Facility Phone: 256 246-4446
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. STEVEN P. FURR
  • NPI Number: 1366808404
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305352
LAB Type Rural Health Clinic
Facility Name FAMILY MEDICAL CLINIC OF JACKSON
Street 226 HOSPITAL DRIVE
City JACKSON
State AL
ZIP 36545
Phone 256 246-4446
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 Rural Health Clinic
Lab Director DR. STEVEN P. FURR

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