01D0981272 CLIA NUMBER - HARRY W KUBERG MD

Laboratory Demographics

  • CLIA Code: 01D0981272
  • Facility Name: HARRY W KUBERG MD
  • Facility Address: 15225 HWY 43 SUITE F
    RUSSELLVILLE, AL
    ZIP 35653
  • Facility Phone: 256 331-9408
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HARRY W. KUBERG MD
  • NPI Number: 1760537633
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0981272
LAB Type Physician Office
Facility Name HARRY W KUBERG MD
Street 15225 HWY 43 SUITE F
City RUSSELLVILLE
State AL
ZIP 35653
Phone 256 331-9408
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 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director HARRY W. KUBERG MD

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