01D0700618 CLIA NUMBER - NORTHEAST AL PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D0700618
  • Facility Name: NORTHEAST AL PEDIATRICS
  • Facility Address: 104 WEST ALABAMA AVENUE SUITE B
    ALBERTVILLE, AL
    ZIP 35950
  • Facility Phone: 256 891-1221
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KENNETH E. SKELTON
  • NPI Number: 1063600203
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 01D0700618
LAB Type Physician Office
Facility Name NORTHEAST AL PEDIATRICS
Street 104 WEST ALABAMA AVENUE SUITE B
City ALBERTVILLE
State AL
ZIP 35950
Phone 256 891-1221
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/22/2023
Certificate Expiration Date 10/21/2025
Facility Type Physician Office
Lab Director KENNETH E. SKELTON

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