01D0877761 CLIA NUMBER - HH HEALTH SYSTEM DEKALB RHC LLC

Laboratory Demographics

  • CLIA Code: 01D0877761
  • Facility Name: HH HEALTH SYSTEM DEKALB RHC LLC
  • Facility Address: 415 MEDICAL CENTER DR SW
    FORT PAYNE, AL
    ZIP 35968
  • Facility Phone: 256 997-2820
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DANIEL MINCE
  • NPI Number: 1184679938
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0877761
LAB Type Rural Health Clinic
Facility Name HH HEALTH SYSTEM DEKALB RHC LLC
Street 415 MEDICAL CENTER DR SW
City FORT PAYNE
State AL
ZIP 35968
Phone 256 997-2820
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Rural Health Clinic
Lab Director DANIEL MINCE

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