01D0305400 CLIA NUMBER - ALABAMA MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 01D0305400
  • Facility Name: ALABAMA MEDICAL GROUP PC
  • Facility Address: 960 INDUSTRIAL PARKWAY STE B
    SARALAND, AL
    ZIP 36571
  • Facility Phone: 251 414-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK MCDANIEL
  • NPI Number: 1841712684
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0305400
LAB Type Physician Office
Facility Name ALABAMA MEDICAL GROUP PC
Street 960 INDUSTRIAL PARKWAY STE B
City SARALAND
State AL
ZIP 36571
Phone 251 414-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2023
Certificate Expiration Date 6/27/2025
Facility Type Physician Office
Lab Director DR. MARK MCDANIEL

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