01D0960530 CLIA NUMBER - LUCIUS B FREEMAN MD

Laboratory Demographics

  • CLIA Code: 01D0960530
  • Facility Name: LUCIUS B FREEMAN MD
  • Facility Address: 645 MCQUEEN SMITH ROAD N SUITE 105
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 365-5987
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUCIUS B. FREEMAN MD
  • NPI Number: 1003855560
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0960530
LAB Type Physician Office
Facility Name LUCIUS B FREEMAN MD
Street 645 MCQUEEN SMITH ROAD N SUITE 105
City PRATTVILLE
State AL
ZIP 36066
Phone 334 365-5987
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director LUCIUS B. FREEMAN MD

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