01D0670422 CLIA NUMBER - SELMA DOCTORS CLINIC

Laboratory Demographics

  • CLIA Code: 01D0670422
  • Facility Name: SELMA DOCTORS CLINIC
  • Facility Address: 509 PARKMAN AVENUE
    SELMA, AL
    ZIP 36701
  • Facility Phone: 334 874-9064
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PARK T. CHITTOM
  • NPI Number: 1891776050
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0670422
LAB Type Physician Office
Facility Name SELMA DOCTORS CLINIC
Street 509 PARKMAN AVENUE
City SELMA
State AL
ZIP 36701
Phone 334 874-9064
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 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Physician Office
Lab Director PARK T. CHITTOM

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