01D0641726 CLIA NUMBER - SOUTHEAST HEALTH ENTERPRISE CLINIC

Laboratory Demographics

  • CLIA Code: 01D0641726
  • Facility Name: SOUTHEAST HEALTH ENTERPRISE CLINIC
  • Facility Address: 101 PROFESSIONAL LANE
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 793-8176
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: WILLIAM REYNOLDS
  • NPI Number: 1487708731
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0641726
LAB Type Physician Office
Facility Name SOUTHEAST HEALTH ENTERPRISE CLINIC
Street 101 PROFESSIONAL LANE
City ENTERPRISE
State AL
ZIP 36330
Phone 334 793-8176
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/22/2023
Certificate Expiration Date 8/21/2025
Facility Type Physician Office
Lab Director WILLIAM REYNOLDS

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