01D0994216 CLIA NUMBER - OHATCHEE FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 01D0994216
  • Facility Name: OHATCHEE FAMILY MEDICAL CLINIC
  • Facility Address: 1410 AL HWY 144 ATTN DR TAMARA MCINTOSH
    OHATCHEE, AL
    ZIP 36271
  • Facility Phone: 256 892-2121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMARA A. MCINTOSH MD
  • NPI Number: 1467534578
  • Taxonomy: 183500000X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 01D0994216
LAB Type Physician Office
Facility Name OHATCHEE FAMILY MEDICAL CLINIC
Street 1410 AL HWY 144 ATTN DR TAMARA MCINTOSH
City OHATCHEE
State AL
ZIP 36271
Phone 256 892-2121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director TAMARA A. MCINTOSH MD

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