01D0996052 CLIA NUMBER - AUTAUGAVILLE FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D0996052
  • Facility Name: AUTAUGAVILLE FAMILY HEALTH CENTER
  • Facility Address: 203 NORTH TAYLOR STREET
    AUTAUGAVILLE, AL
    ZIP 36003
  • Facility Phone: 334 420-5001
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GEORGE G. THOMAS
  • NPI Number: 1992727853
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0996052
LAB Type Federally Qualified Health Center
Facility Name AUTAUGAVILLE FAMILY HEALTH CENTER
Street 203 NORTH TAYLOR STREET
City AUTAUGAVILLE
State AL
ZIP 36003
Phone 334 420-5001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Federally Qualified Health Center
Lab Director GEORGE G. THOMAS

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