01D1005591 CLIA NUMBER - BROOKWOOD PRIMARY CARE - OAK MOUNTAIN

Laboratory Demographics

  • CLIA Code: 01D1005591
  • Facility Name: BROOKWOOD PRIMARY CARE - OAK MOUNTAIN
  • Facility Address: 2705 S PELHAM PARKWAY, SUITE 100
    PELHAM, AL
    ZIP 35124
  • Facility Phone: 205 733-1130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEREMY ALLEN
  • NPI Number: 1265720544
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1005591
LAB Type Physician Office
Facility Name BROOKWOOD PRIMARY CARE - OAK MOUNTAIN
Street 2705 S PELHAM PARKWAY, SUITE 100
City PELHAM
State AL
ZIP 35124
Phone 205 733-1130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director DR. JEREMY ALLEN

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