01D0692037 CLIA NUMBER - RED MOUNTAIN WELLNESS & INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 01D0692037
  • Facility Name: RED MOUNTAIN WELLNESS & INTERNAL MEDICINE PC
  • Facility Address: 200 OFFICE PARK DRIVE SUITE 201
    BIRMINGHAM, AL
    ZIP 35223
  • Facility Phone: 205 599-3860
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CECIL C. DODSON MD
  • NPI Number: 1629139332
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0692037
LAB Type Physician Office
Facility Name RED MOUNTAIN WELLNESS & INTERNAL MEDICINE PC
Street 200 OFFICE PARK DRIVE SUITE 201
City BIRMINGHAM
State AL
ZIP 35223
Phone 205 599-3860
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director DR. CECIL C. DODSON MD

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