01D0961482 CLIA NUMBER - NORTH RIVER SURGICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 01D0961482
  • Facility Name: NORTH RIVER SURGICAL CENTER LLC
  • Facility Address: 301 RICE MINE ROAD NE
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 750-0022
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DELISHA WALDROP
  • NPI Number: 1073934675
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 01D0961482
LAB Type Ambulatory Surgery Center
Facility Name NORTH RIVER SURGICAL CENTER LLC
Street 301 RICE MINE ROAD NE
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 750-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Ambulatory Surgery Center
Lab Director DELISHA WALDROP

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