01D0963826 CLIA NUMBER - MONTGOMERY CARDIOVASCULAR ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D0963826
  • Facility Name: MONTGOMERY CARDIOVASCULAR ASSOCIATES
  • Facility Address: 2119 EAST SOUTH BLVD
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 280-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL B. MOORE
  • NPI Number: 1336179316
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0963826
LAB Type Physician Office
Facility Name MONTGOMERY CARDIOVASCULAR ASSOCIATES
Street 2119 EAST SOUTH BLVD
City MONTGOMERY
State AL
ZIP 36116
Phone 334 280-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DR. PAUL B. MOORE

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