01D0996053 CLIA NUMBER - CLANTON FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D0996053
  • Facility Name: CLANTON FAMILY HEALTH CENTER
  • Facility Address: 107 MEDICAL CENTER DRIVE
    CLANTON, AL
    ZIP 35045
  • Facility Phone: 334 420-5001
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GEORGE G. THOMAS
  • NPI Number: 1700808664
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0996053
LAB Type Federally Qualified Health Center
Facility Name CLANTON FAMILY HEALTH CENTER
Street 107 MEDICAL CENTER DRIVE
City CLANTON
State AL
ZIP 35045
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 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Federally Qualified Health Center
Lab Director GEORGE G. THOMAS

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