01D0969810 CLIA NUMBER - MOBILE PEDIATRIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 01D0969810
  • Facility Name: MOBILE PEDIATRIC CLINIC LLC
  • Facility Address: 6321 PICCADILLY SQUARE SUITE A
    MOBILE, AL
    ZIP 36609
  • Facility Phone: 251 342-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH STADTHER MD
  • NPI Number: 1902352180
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0969810
LAB Type Physician Office
Facility Name MOBILE PEDIATRIC CLINIC LLC
Street 6321 PICCADILLY SQUARE SUITE A
City MOBILE
State AL
ZIP 36609
Phone 251 342-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director JOSEPH STADTHER MD

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