01D0934556 CLIA NUMBER - GREATER HUNTSVILLE FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 01D0934556
  • Facility Name: GREATER HUNTSVILLE FAMILY PRACTICE PC
  • Facility Address: 2089 CECIL ASHBURN DRIVE SUITE 101
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 882-6487
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRYAN D. EVANS MD
  • NPI Number: 1881960631
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0934556
LAB Type Physician Office
Facility Name GREATER HUNTSVILLE FAMILY PRACTICE PC
Street 2089 CECIL ASHBURN DRIVE SUITE 101
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 882-6487
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2023
Certificate Expiration Date 10/7/2025
Facility Type Physician Office
Lab Director BRYAN D. EVANS MD

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This page was last updated on: 3/20/2025