01D1016933 CLIA NUMBER - COMMUNITY FREE CLINIC OF DECATUR-MORGAN COUNTY INC

Laboratory Demographics

  • CLIA Code: 01D1016933
  • Facility Name: COMMUNITY FREE CLINIC OF DECATUR-MORGAN COUNTY INC
  • Facility Address: 245 JACKSON ST SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 309-2491
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ALEXIS R. PENOT
  • NPI Number: 1255583324
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D1016933
LAB Type Community Clinic
Facility Name COMMUNITY FREE CLINIC OF DECATUR-MORGAN COUNTY INC
Street 245 JACKSON ST SE
City DECATUR
State AL
ZIP 35601
Phone 256 309-2491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Community Clinic
Lab Director ALEXIS R. PENOT

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