01D0986732 CLIA NUMBER - FULTON FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 01D0986732
  • Facility Name: FULTON FAMILY MEDICAL
  • Facility Address: 218 MAIN STREET
    FULTON, AL
    ZIP 36446
  • Facility Phone: 334 636-4823
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DR. HUEY R. KIDD
  • NPI Number: 1841510799
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0986732
LAB Type Federally Qualified Health Center
Facility Name FULTON FAMILY MEDICAL
Street 218 MAIN STREET
City FULTON
State AL
ZIP 36446
Phone 334 636-4823
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 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Federally Qualified Health Center
Lab Director DR. HUEY R. KIDD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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