01D0663527 CLIA NUMBER - USCG ATC MOBILE

Laboratory Demographics

  • CLIA Code: 01D0663527
  • Facility Name: USCG ATC MOBILE
  • Facility Address: 8501 TANNER WILLIAMS ROAD
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 441-6411
  • Facility Type: Other - MILITARY TREATMENT FAC
  • Facility Type: Waiver
  • Lab Director: LTJG BRETT LEE
  • NPI Number: 1396846739
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 01D0663527
LAB Type Other - MILITARY TREATMENT FAC
Facility Name USCG ATC MOBILE
Street 8501 TANNER WILLIAMS ROAD
City MOBILE
State AL
ZIP 36608
Phone 251 441-6411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Other - MILITARY TREATMENT FAC
Lab Director LTJG BRETT LEE

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