01D0676999 CLIA NUMBER - DECATUR ENT ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D0676999
  • Facility Name: DECATUR ENT ASSOCIATES
  • Facility Address: 1218 13TH AVE SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 355-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAGE K. COPELAND
  • NPI Number: 1164487708
  • Taxonomy: 207YS0123X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 01D0676999
LAB Type Physician Office
Facility Name DECATUR ENT ASSOCIATES
Street 1218 13TH AVE SE
City DECATUR
State AL
ZIP 35601
Phone 256 355-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director SAGE K. COPELAND

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