01D0865501 CLIA NUMBER - DBA DEKALB GENERAL SURGERY AND BARIATRICS DEKALB SPECIALTY CARE

Laboratory Demographics

  • CLIA Code: 01D0865501
  • Facility Name: DBA DEKALB GENERAL SURGERY AND BARIATRICS DEKALB SPECIALTY CARE
  • Facility Address: 321 MEDICAL CENTER DRIVE SW
    FORT PAYNE, AL
    ZIP 35968
  • Facility Phone: 256 845-4131
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELEANOR I. MATTHEWS
  • NPI Number: 1356746085
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0865501
LAB Type Physician Office
Facility Name DBA DEKALB GENERAL SURGERY AND BARIATRICS DEKALB SPECIALTY CARE
Street 321 MEDICAL CENTER DRIVE SW
City FORT PAYNE
State AL
ZIP 35968
Phone 256 845-4131
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 ELEANOR I. MATTHEWS

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: 9/29/2025