01D0641691 CLIA NUMBER - ALABAMA DEPARTMENT OF PUBLIC HEALTH BUREAU OF CLINICAL LABORATORIES

Laboratory Demographics

  • CLIA Code: 01D0641691
  • Facility Name: ALABAMA DEPARTMENT OF PUBLIC HEALTH BUREAU OF CLINICAL LABORATORIES
  • Facility Address: 204 LEGENDS COURT
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 290-6130
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHARON P. MASSINGALE
  • NPI Number: 1265805550
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 01D0641691
LAB Type Public Health Laboratories
Facility Name ALABAMA DEPARTMENT OF PUBLIC HEALTH BUREAU OF CLINICAL LABORATORIES
Street 204 LEGENDS COURT
City PRATTVILLE
State AL
ZIP 36066
Phone 334 290-6130
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 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Public Health Laboratories
Lab Director DR. SHARON P. MASSINGALE

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This page was last updated on: 9/29/2025