01D0892637 CLIA NUMBER - PEDIATRIC CARE CENTER

Laboratory Demographics

  • CLIA Code: 01D0892637
  • Facility Name: PEDIATRIC CARE CENTER
  • Facility Address: 304 EAST 4TH STREET
    ANNISTON, AL
    ZIP 36201
  • Facility Phone: 256 237-1184
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA M. MARTIN
  • NPI Number: 1932443868
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0892637
LAB Type Physician Office
Facility Name PEDIATRIC CARE CENTER
Street 304 EAST 4TH STREET
City ANNISTON
State AL
ZIP 36201
Phone 256 237-1184
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director ANGELA M. MARTIN

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