01D0916163 CLIA NUMBER - COVINGTON PEDIATRICS RURAL HEALTH CLNC

Laboratory Demographics

  • CLIA Code: 01D0916163
  • Facility Name: COVINGTON PEDIATRICS RURAL HEALTH CLNC
  • Facility Address: 614 WEST BYPASS
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 222-0119
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHARLES E. ELDRIDGE
  • NPI Number: 1336157353
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0916163
LAB Type Rural Health Clinic
Facility Name COVINGTON PEDIATRICS RURAL HEALTH CLNC
Street 614 WEST BYPASS
City ANDALUSIA
State AL
ZIP 36420
Phone 334 222-0119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Rural Health Clinic
Lab Director CHARLES E. ELDRIDGE

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