01D0953785 CLIA NUMBER - SOUTH UNION FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 01D0953785
  • Facility Name: SOUTH UNION FAMILY MEDICINE
  • Facility Address: 633 S UNION AVE
    OZARK, AL
    ZIP 36360
  • Facility Phone: 334 774-2601
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT J. KREUTZMANN MD
  • NPI Number: 1003264136
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0953785
LAB Type Physician Office
Facility Name SOUTH UNION FAMILY MEDICINE
Street 633 S UNION AVE
City OZARK
State AL
ZIP 36360
Phone 334 774-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director ROBERT J. KREUTZMANN MD

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