01D0856810 CLIA NUMBER - CLANTON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D0856810
  • Facility Name: CLANTON INTERNAL MEDICINE
  • Facility Address: 1320 WOODFIN LANE
    CLANTON, AL
    ZIP 35045
  • Facility Phone: 205 755-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AJAY P. PATEL MD
  • NPI Number: 1821029240
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0856810
LAB Type Physician Office
Facility Name CLANTON INTERNAL MEDICINE
Street 1320 WOODFIN LANE
City CLANTON
State AL
ZIP 35045
Phone 205 755-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AJAY P. PATEL MD

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