01D1015641 CLIA NUMBER - SUMMIT INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 01D1015641
  • Facility Name: SUMMIT INTERNAL MEDICINE PC
  • Facility Address: 3570 GRANDVIEW PARKWAY SUITE 100-A
    BIRMINGHAM, AL
    ZIP 35243
  • Facility Phone: 205 595-9222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID F. WYNNE
  • NPI Number: 1952454746
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1015641
LAB Type Physician Office
Facility Name SUMMIT INTERNAL MEDICINE PC
Street 3570 GRANDVIEW PARKWAY SUITE 100-A
City BIRMINGHAM
State AL
ZIP 35243
Phone 205 595-9222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2025
Certificate Expiration Date 8/10/2027
Facility Type Physician Office
Lab Director DAVID F. WYNNE

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