01D0896577 CLIA NUMBER - WETUMPKA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 01D0896577
  • Facility Name: WETUMPKA MEDICAL CENTER
  • Facility Address: 76297 TALLASSEE HIGHWAY
    WETUMPKA, AL
    ZIP 36092
  • Facility Phone: 334 514-1910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN M. HAYDEN
  • NPI Number: 1255764007
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 01D0896577
LAB Type Physician Office
Facility Name WETUMPKA MEDICAL CENTER
Street 76297 TALLASSEE HIGHWAY
City WETUMPKA
State AL
ZIP 36092
Phone 334 514-1910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director STEVEN M. HAYDEN

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