01D0665255 CLIA NUMBER - MIZELL MEMORIAL HOSPITAL/RESPIRATORY CARE DEPT

Laboratory Demographics

  • CLIA Code: 01D0665255
  • Facility Name: MIZELL MEMORIAL HOSPITAL/RESPIRATORY CARE DEPT
  • Facility Address: 702 MAIN STREET
    OPP, AL
    ZIP 36467
  • Facility Phone: 334 493-3541
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: KENNETH J. CROWE
  • NPI Number: 1477032795
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 01D0665255
LAB Type Hospital
Facility Name MIZELL MEMORIAL HOSPITAL/RESPIRATORY CARE DEPT
Street 702 MAIN STREET
City OPP
State AL
ZIP 36467
Phone 334 493-3541
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 2/17/2023
Certificate Expiration Date 3/31/2025
Facility Type Hospital
Lab Director KENNETH J. CROWE

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