01D0996056 CLIA NUMBER - HAYNEVILLE FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D0996056
  • Facility Name: HAYNEVILLE FAMILY HEALTH CENTER
  • Facility Address: 511 EAST TUSKEENA
    HAYNEVILLE, AL
    ZIP 36040
  • Facility Phone: 334 420-5001
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GEORGE G. THOMAS
  • NPI Number: 1598788218
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0996056
LAB Type Federally Qualified Health Center
Facility Name HAYNEVILLE FAMILY HEALTH CENTER
Street 511 EAST TUSKEENA
City HAYNEVILLE
State AL
ZIP 36040
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 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Federally Qualified Health Center
Lab Director GEORGE G. THOMAS

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