01D0700623 CLIA NUMBER - CHILDERSBURG PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D0700623
  • Facility Name: CHILDERSBURG PRIMARY CARE
  • Facility Address: 33637 US HWY 280
    CHILDERSBURG, AL
    ZIP 35044
  • Facility Phone: 256 378-3313
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAROD E. SPEER
  • NPI Number: 1851476261
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 01D0700623
LAB Type Physician Office
Facility Name CHILDERSBURG PRIMARY CARE
Street 33637 US HWY 280
City CHILDERSBURG
State AL
ZIP 35044
Phone 256 378-3313
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 4/28/2023
Certificate Expiration Date 6/30/2025
Facility Type Physician Office
Lab Director JAROD E. SPEER

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