01D0686307 CLIA NUMBER - TENNESSEE VALLEY SURGERY GROUP PC

Laboratory Demographics

  • CLIA Code: 01D0686307
  • Facility Name: TENNESSEE VALLEY SURGERY GROUP PC
  • Facility Address: 1751 VETERANS DRIVE SUITE 125
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 766-0150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL BULLARD RN
  • NPI Number: 1356309652
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 01D0686307
LAB Type Physician Office
Facility Name TENNESSEE VALLEY SURGERY GROUP PC
Street 1751 VETERANS DRIVE SUITE 125
City FLORENCE
State AL
ZIP 35630
Phone 256 766-0150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHERYL BULLARD RN

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