01D0895119 CLIA NUMBER - ELBERTA CLINIC

Laboratory Demographics

  • CLIA Code: 01D0895119
  • Facility Name: ELBERTA CLINIC
  • Facility Address: PO DRAWER 519
    ELBERTA, AL
    ZIP 36530
  • Facility Phone: 251 986-7301
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TERRY A. KURTTS MD
  • NPI Number: 1588752844
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0895119
LAB Type Physician Office
Facility Name ELBERTA CLINIC
Street PO DRAWER 519
City ELBERTA
State AL
ZIP 36530
Phone 251 986-7301
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director TERRY A. KURTTS MD

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