01D0695481 CLIA NUMBER - PIKE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D0695481
  • Facility Name: PIKE INTERNAL MEDICINE
  • Facility Address: 1350 HWY 231 S
    TROY, AL
    ZIP 36081
  • Facility Phone: 334 670-5412
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD M. BOONE
  • NPI Number: 1417015918
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0695481
LAB Type Physician Office
Facility Name PIKE INTERNAL MEDICINE
Street 1350 HWY 231 S
City TROY
State AL
ZIP 36081
Phone 334 670-5412
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 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director RICHARD M. BOONE

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