01D0925066 CLIA NUMBER - INFANTS' AND CHILDREN'S CLINIC LAB #2

Laboratory Demographics

  • CLIA Code: 01D0925066
  • Facility Name: INFANTS' AND CHILDREN'S CLINIC LAB #2
  • Facility Address: 1605 MOCKINGBIRD COURT
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 205 764-9522
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRANT ALLEN MD
  • NPI Number: 1689685315
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0925066
LAB Type Physician Office
Facility Name INFANTS' AND CHILDREN'S CLINIC LAB #2
Street 1605 MOCKINGBIRD COURT
City FLORENCE
State AL
ZIP 35630
Phone 205 764-9522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director GRANT ALLEN MD

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