01D0953865 CLIA NUMBER - NORTH JEFFERSON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D0953865
  • Facility Name: NORTH JEFFERSON PEDIATRICS
  • Facility Address: 934 GRUBBS AVE
    GARDENDALE, AL
    ZIP 35071
  • Facility Phone: 205 608-1233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FADELL N. SAVANY
  • NPI Number: 1104012137
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0953865
LAB Type Physician Office
Facility Name NORTH JEFFERSON PEDIATRICS
Street 934 GRUBBS AVE
City GARDENDALE
State AL
ZIP 35071
Phone 205 608-1233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director FADELL N. SAVANY

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