01D0701919 CLIA NUMBER - INNOVA PRIMARY CARE PC

Laboratory Demographics

  • Code: 01D0701919
  • Facility Name: INNOVA PRIMARY CARE PC
  • Facility Address: 145 RESEARCH BLVD
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 882-1510
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • NPI Number: 1689954240
  • Taxonomy: 207Q00000X - Family Medicine
Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0701919
LAB Type Physician Office
Facility Name INNOVA PRIMARY CARE PC
Street 145 RESEARCH BLVD
City MADISON
State AL
ZIP 35758
Phone 256 882-1510
Certificate Type 1
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Accreditation

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 4/23/2024