01D0699979 CLIA NUMBER - ANNISTON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 01D0699979
  • Facility Name: ANNISTON FAMILY PRACTICE
  • Facility Address: 400 EAST 8TH STREET
    ANNISTON, AL
    ZIP 36207
  • Facility Phone: 256 237-8527
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. ARNOLD P. PAGUYO
  • NPI Number: 1437135209
  • Taxonomy: 305R00000X - Preferred Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 01D0699979
LAB Type Physician Office
Facility Name ANNISTON FAMILY PRACTICE
Street 400 EAST 8TH STREET
City ANNISTON
State AL
ZIP 36207
Phone 256 237-8527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director MR. ARNOLD P. PAGUYO

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This page was last updated on: 6/4/2025