01D0678945 CLIA NUMBER - GULFSIDE MEDICAL CARE

Laboratory Demographics

  • CLIA Code: 01D0678945
  • Facility Name: GULFSIDE MEDICAL CARE
  • Facility Address: 1511 NORTH MCKENZIE ST
    FOLEY, AL
    ZIP 36535
  • Facility Phone: 251 943-1584
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH D. MCLEOD DO
  • NPI Number: 1710571039
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0678945
LAB Type Physician Office
Facility Name GULFSIDE MEDICAL CARE
Street 1511 NORTH MCKENZIE ST
City FOLEY
State AL
ZIP 36535
Phone 251 943-1584
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director KENNETH D. MCLEOD DO

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This page was last updated on: 6/4/2025