01D0974050 CLIA NUMBER - CHATOM PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 01D0974050
  • Facility Name: CHATOM PRIMARY CARE PC
  • Facility Address: 14634 ST STEPHENS AVENUE
    CHATOM, AL
    ZIP 36518
  • Facility Phone: 251 847-6262
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES S. DONALD MD
  • NPI Number: 1326243270
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0974050
LAB Type Physician Office
Facility Name CHATOM PRIMARY CARE PC
Street 14634 ST STEPHENS AVENUE
City CHATOM
State AL
ZIP 36518
Phone 251 847-6262
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Physician Office
Lab Director JAMES S. DONALD MD

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