01D0689275 CLIA NUMBER - TALLASSEE FAMILY CARE

Laboratory Demographics

  • CLIA Code: 01D0689275
  • Facility Name: TALLASSEE FAMILY CARE
  • Facility Address: 115 HERREN HILL ROAD
    TALLASSEE, AL
    ZIP 36078
  • Facility Phone: 334 283-3477
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CORNESE DUSTER
  • NPI Number: 1114982360
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0689275
LAB Type Physician Office
Facility Name TALLASSEE FAMILY CARE
Street 115 HERREN HILL ROAD
City TALLASSEE
State AL
ZIP 36078
Phone 334 283-3477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Physician Office
Lab Director CORNESE DUSTER

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