01D0306184 CLIA NUMBER - WHITFIELD REGIONAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 01D0306184
  • Facility Name: WHITFIELD REGIONAL HOSPITAL
  • Facility Address: 105 HIGHWAY 80 EAST
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 287-2644
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ERIK KOUBA
  • NPI Number: 1588690085
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 01D0306184
LAB Type Hospital
Facility Name WHITFIELD REGIONAL HOSPITAL
Street 105 HIGHWAY 80 EAST
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 287-2644
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 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Hospital
Lab Director DR. ERIK KOUBA

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