01D0979213 CLIA NUMBER - BAY MEDICAL FAMILY PRACTICE, PC

Laboratory Demographics

  • CLIA Code: 01D0979213
  • Facility Name: BAY MEDICAL FAMILY PRACTICE, PC
  • Facility Address: 405 NORTH SECTION STREET
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 990-1860
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID M. HUDSON
  • NPI Number: 1497739023
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0979213
LAB Type Physician Office
Facility Name BAY MEDICAL FAMILY PRACTICE, PC
Street 405 NORTH SECTION STREET
City FAIRHOPE
State AL
ZIP 36532
Phone 251 990-1860
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director DR. DAVID M. HUDSON

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