01D0999566 CLIA NUMBER - SOUTH ALABAMA PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 01D0999566
  • Facility Name: SOUTH ALABAMA PEDIATRICS PC
  • Facility Address: 101 EAST PAULK AVENUE
    OPP, AL
    ZIP 36467
  • Facility Phone: 334 493-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BHAGWAN D. BANG MD
  • NPI Number: 1366567190
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D0999566
LAB Type Physician Office
Facility Name SOUTH ALABAMA PEDIATRICS PC
Street 101 EAST PAULK AVENUE
City OPP
State AL
ZIP 36467
Phone 334 493-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director BHAGWAN D. BANG MD

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