01D0996054 CLIA NUMBER - ECLECTIC FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D0996054
  • Facility Name: ECLECTIC FAMILY HEALTH CENTER
  • Facility Address: 30 MAIN STREET
    ECLECTIC, AL
    ZIP 36024
  • Facility Phone: 334 420-5001
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GEORGE G. THOMAS
  • NPI Number: 1982626842
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0996054
LAB Type Federally Qualified Health Center
Facility Name ECLECTIC FAMILY HEALTH CENTER
Street 30 MAIN STREET
City ECLECTIC
State AL
ZIP 36024
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