01D1014217 CLIA NUMBER - CHRIS B RUSSELL MD PC

Laboratory Demographics

  • CLIA Code: 01D1014217
  • Facility Name: CHRIS B RUSSELL MD PC
  • Facility Address: 204 LOWE AVENUE SUITE 6
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 533-0856
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRIS B. RUSSELL MD
  • NPI Number: 1033259742
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1014217
LAB Type Physician Office
Facility Name CHRIS B RUSSELL MD PC
Street 204 LOWE AVENUE SUITE 6
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 533-0856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director CHRIS B. RUSSELL MD

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