01D1015711 CLIA NUMBER - ROBERT W EATON DO

Laboratory Demographics

  • CLIA Code: 01D1015711
  • Facility Name: ROBERT W EATON DO
  • Facility Address: 5004 HIGHWAY 69 NORTH
    NORTHPORT, AL
    ZIP 35473
  • Facility Phone: 205 339-2499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT W. EATON
  • NPI Number: 1073513479
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1015711
LAB Type Physician Office
Facility Name ROBERT W EATON DO
Street 5004 HIGHWAY 69 NORTH
City NORTHPORT
State AL
ZIP 35473
Phone 205 339-2499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director ROBERT W. EATON

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