01D0909012 CLIA NUMBER - PRO-MED PC

Laboratory Demographics

  • CLIA Code: 01D0909012
  • Facility Name: PRO-MED PC
  • Facility Address: 302 PAUL STABLER DRIVE
    GREENVILLE, AL
    ZIP 36037
  • Facility Phone: 334 382-0530
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEHA SHEKAR
  • NPI Number: 1811957467
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0909012
LAB Type Physician Office
Facility Name PRO-MED PC
Street 302 PAUL STABLER DRIVE
City GREENVILLE
State AL
ZIP 36037
Phone 334 382-0530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2025
Certificate Expiration Date 6/10/2027
Facility Type Physician Office
Lab Director NEHA SHEKAR

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