01D0871507 CLIA NUMBER - KEVIN G KELLY MD

Laboratory Demographics

  • CLIA Code: 01D0871507
  • Facility Name: KEVIN G KELLY MD
  • Facility Address: 13150 HWY 43 SOUTH SUITE 10
    RUSSELLVILLE, AL
    ZIP 35653
  • Facility Phone: 256 332-5901
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KEVIN G. KELLY
  • NPI Number: 1710972385
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0871507
LAB Type Physician Office
Facility Name KEVIN G KELLY MD
Street 13150 HWY 43 SOUTH SUITE 10
City RUSSELLVILLE
State AL
ZIP 35653
Phone 256 332-5901
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 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director KEVIN G. KELLY

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