01D0960316 CLIA NUMBER - RUSH MEDICAL GROUP - LIVINGSTON

Laboratory Demographics

  • CLIA Code: 01D0960316
  • Facility Name: RUSH MEDICAL GROUP - LIVINGSTON
  • Facility Address: 1221 NORTH WASHINGTON STREET
    LIVINGSTON, AL
    ZIP 35470
  • Facility Phone: 205 652-9575
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LEEANN KITCHENS
  • NPI Number: 1982040317
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0960316
LAB Type Rural Health Clinic
Facility Name RUSH MEDICAL GROUP - LIVINGSTON
Street 1221 NORTH WASHINGTON STREET
City LIVINGSTON
State AL
ZIP 35470
Phone 205 652-9575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Rural Health Clinic
Lab Director LEEANN KITCHENS

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