01D0693345 CLIA NUMBER - MONTGOMERY KIDNEY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 01D0693345
  • Facility Name: MONTGOMERY KIDNEY SPECIALISTS
  • Facility Address: 2034 CHESTNUT ST
    MONTGOMERY, AL
    ZIP 36106
  • Facility Phone: 334 269-0212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUIS F. ARDON MD
  • NPI Number: 1356452403
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0693345
LAB Type Physician Office
Facility Name MONTGOMERY KIDNEY SPECIALISTS
Street 2034 CHESTNUT ST
City MONTGOMERY
State AL
ZIP 36106
Phone 334 269-0212
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director LUIS F. ARDON MD

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