01D0679846 CLIA NUMBER - ROBERTA O WATTS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 01D0679846
  • Facility Name: ROBERTA O WATTS MEDICAL CENTER
  • Facility Address: 1020 TUSCALOOSA AVE
    GADSDEN, AL
    ZIP 35901
  • Facility Phone: 256 546-4606
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ODEANE CONNER
  • NPI Number: 1801959846
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 01D0679846
LAB Type Federally Qualified Health Center
Facility Name ROBERTA O WATTS MEDICAL CENTER
Street 1020 TUSCALOOSA AVE
City GADSDEN
State AL
ZIP 35901
Phone 256 546-4606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Federally Qualified Health Center
Lab Director DR. ODEANE CONNER

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