01D0682297 CLIA NUMBER - GRANDVIEW CAHABA HEIGHTS

Laboratory Demographics

  • CLIA Code: 01D0682297
  • Facility Name: GRANDVIEW CAHABA HEIGHTS
  • Facility Address: 4317 DOLLY RIDGE ROAD, SUITE 201
    VESTAVIA, AL
    ZIP 35243
  • Facility Phone: 205 967-9248
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES R. GEWIN
  • NPI Number: 1265900500
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 01D0682297
LAB Type Physician Office
Facility Name GRANDVIEW CAHABA HEIGHTS
Street 4317 DOLLY RIDGE ROAD, SUITE 201
City VESTAVIA
State AL
ZIP 35243
Phone 205 967-9248
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director DR. JAMES R. GEWIN

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