01D0887850 CLIA NUMBER - FAIRHOPE INTERNAL MEDICINE, P C

Laboratory Demographics

  • CLIA Code: 01D0887850
  • Facility Name: FAIRHOPE INTERNAL MEDICINE, P C
  • Facility Address: 6 MEDICAL PARK DR
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 990-1740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK WANG
  • NPI Number: 1295760494
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0887850
LAB Type Physician Office
Facility Name FAIRHOPE INTERNAL MEDICINE, P C
Street 6 MEDICAL PARK DR
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-1740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director FRANK WANG

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