01D0917859 CLIA NUMBER - GUNTERSVILLE FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 01D0917859
  • Facility Name: GUNTERSVILLE FAMILY PRACTICE CLINIC
  • Facility Address: 1241 BLOUNT AVENUE
    GUNTERSVILLE, AL
    ZIP 35976
  • Facility Phone: 256 582-6377
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL K. STEWART MD
  • NPI Number: 1659324887
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D0917859
LAB Type Physician Office
Facility Name GUNTERSVILLE FAMILY PRACTICE CLINIC
Street 1241 BLOUNT AVENUE
City GUNTERSVILLE
State AL
ZIP 35976
Phone 256 582-6377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DR. RANDALL K. STEWART MD

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