01D0956259 CLIA NUMBER - LUNA U SY MD PC

Laboratory Demographics

  • CLIA Code: 01D0956259
  • Facility Name: LUNA U SY MD PC
  • Facility Address: 324 WHITE AVENUE
    OZARK, AL
    ZIP 36360
  • Facility Phone: 334 445-9101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LUNA U. SY MD
  • NPI Number: 1356455497
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0956259
LAB Type Physician Office
Facility Name LUNA U SY MD PC
Street 324 WHITE AVENUE
City OZARK
State AL
ZIP 36360
Phone 334 445-9101
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director LUNA U. SY MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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