01D0695318 CLIA NUMBER - DR DAVID L GORDON

Laboratory Demographics

  • CLIA Code: 01D0695318
  • Facility Name: DR DAVID L GORDON
  • Facility Address: 4530-A SOUTHLAKE PARKWAY
    BIRMINGHAM, AL
    ZIP 35244
  • Facility Phone: 205 987-2845
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID L. GORDON
  • NPI Number: 1932427655
  • Taxonomy: 111NS0005X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 01D0695318
LAB Type Physician Office
Facility Name DR DAVID L GORDON
Street 4530-A SOUTHLAKE PARKWAY
City BIRMINGHAM
State AL
ZIP 35244
Phone 205 987-2845
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 DAVID L. GORDON

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