01D0997841 CLIA NUMBER - JEANNE BIRKENHAUER MD

Laboratory Demographics

  • CLIA Code: 01D0997841
  • Facility Name: JEANNE BIRKENHAUER MD
  • Facility Address: 156 EAST 15TH AVENUE
    GULF SHORES, AL
    ZIP 36542
  • Facility Phone: 251 948-4290
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEANNE BIRKENHAVER MD
  • NPI Number: 1457398828
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0997841
LAB Type Physician Office
Facility Name JEANNE BIRKENHAUER MD
Street 156 EAST 15TH AVENUE
City GULF SHORES
State AL
ZIP 36542
Phone 251 948-4290
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director JEANNE BIRKENHAVER MD

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