01D0641793 CLIA NUMBER - RURAL HEALTH MED CLINIC PINE APPLE

Laboratory Demographics

  • CLIA Code: 01D0641793
  • Facility Name: RURAL HEALTH MED CLINIC PINE APPLE
  • Facility Address: 867 COUNTY ROAD 59
    PINE APPLE, AL
    ZIP 36768
  • Facility Phone: 334 746-2197
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: EDGAR W. BROWN MD
  • NPI Number: 1295804391
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0641793
LAB Type Community Clinic
Facility Name RURAL HEALTH MED CLINIC PINE APPLE
Street 867 COUNTY ROAD 59
City PINE APPLE
State AL
ZIP 36768
Phone 334 746-2197
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 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Community Clinic
Lab Director EDGAR W. BROWN MD

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