01D1005014 CLIA NUMBER - SARALAND FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 01D1005014
  • Facility Name: SARALAND FAMILY PRACTICE PC
  • Facility Address: 119 ENNIS STREET
    SARALAND, AL
    ZIP 36571
  • Facility Phone: 251 544-2000
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK A. MCDANIEL MD
  • NPI Number: 1477664779
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1005014
LAB Type Physician Office
Facility Name SARALAND FAMILY PRACTICE PC
Street 119 ENNIS STREET
City SARALAND
State AL
ZIP 36571
Phone 251 544-2000
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 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director MARK A. MCDANIEL MD

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