01D0692286 CLIA NUMBER - JUDY COOKE TRAVIS MD PC

Laboratory Demographics

  • CLIA Code: 01D0692286
  • Facility Name: JUDY COOKE TRAVIS MD PC
  • Facility Address: 123 E CAPITOL STREET
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 289-9408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY C. TRAVIS
  • NPI Number: 1902095565
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0692286
LAB Type Physician Office
Facility Name JUDY COOKE TRAVIS MD PC
Street 123 E CAPITOL STREET
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 289-9408
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 JUDY C. TRAVIS

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