01D0929211 CLIA NUMBER - ETOWAH CENTER FOR INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D0929211
  • Facility Name: ETOWAH CENTER FOR INTERNAL MEDICINE
  • Facility Address: 207 EAST GRAND AVENUE
    RAINBOW CITY, AL
    ZIP 35906
  • Facility Phone: 256 413-1333
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: MR. LOIS HUMPHREY
  • NPI Number: 1659416303
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0929211
LAB Type Physician Office
Facility Name ETOWAH CENTER FOR INTERNAL MEDICINE
Street 207 EAST GRAND AVENUE
City RAINBOW CITY
State AL
ZIP 35906
Phone 256 413-1333
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/29/2023
Certificate Expiration Date 9/28/2025
Facility Type Physician Office
Lab Director MR. LOIS HUMPHREY

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This page was last updated on: 6/4/2025