01D0999186 CLIA NUMBER - MCCULLARS MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 01D0999186
  • Facility Name: MCCULLARS MEDICAL LLC
  • Facility Address: 1 TIMBER WAY, SUITE 202
    DAPHNE, AL
    ZIP 36527
  • Facility Phone: 251 342-1808
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GEORGE M. MCCULLARS
  • NPI Number: 1326612946
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0999186
LAB Type Physician Office
Facility Name MCCULLARS MEDICAL LLC
Street 1 TIMBER WAY, SUITE 202
City DAPHNE
State AL
ZIP 36527
Phone 251 342-1808
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 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director GEORGE M. MCCULLARS

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