01D0305373 CLIA NUMBER - IMC - CENTRAL BALDWIN PHYSICIANS

Laboratory Demographics

  • CLIA Code: 01D0305373
  • Facility Name: IMC - CENTRAL BALDWIN PHYSICIANS
  • Facility Address: 18317 US HIGHWAY 90
    ROBERTSDALE, AL
    ZIP 36567
  • Facility Phone: 251 947-2000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: T PHILIP BELL MD
  • NPI Number: 1346697539
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305373
LAB Type Physician Office
Facility Name IMC - CENTRAL BALDWIN PHYSICIANS
Street 18317 US HIGHWAY 90
City ROBERTSDALE
State AL
ZIP 36567
Phone 251 947-2000
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director T PHILIP BELL MD

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