01D0974184 CLIA NUMBER - EASTERN SHORE HEALTH CENTER LLC

Laboratory Demographics

  • CLIA Code: 01D0974184
  • Facility Name: EASTERN SHORE HEALTH CENTER LLC
  • Facility Address: 908 PLANTATION BLVD
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 990-2292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SUZANNE TORMOEN MD
  • NPI Number: 1447459748
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0974184
LAB Type Physician Office
Facility Name EASTERN SHORE HEALTH CENTER LLC
Street 908 PLANTATION BLVD
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-2292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Physician Office
Lab Director DR. SUZANNE TORMOEN MD

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