01D1018680 CLIA NUMBER - EXCEL INTERNAL MEDICINE, INC

Laboratory Demographics

  • CLIA Code: 01D1018680
  • Facility Name: EXCEL INTERNAL MEDICINE, INC
  • Facility Address: 513 BROOKWOOD BLVD, SUITE 502
    BIRMINGHAM, AL
    ZIP 35209
  • Facility Phone: 205 802-6773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EMMANUEL ODI
  • NPI Number: 1538115563
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1018680
LAB Type Physician Office
Facility Name EXCEL INTERNAL MEDICINE, INC
Street 513 BROOKWOOD BLVD, SUITE 502
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 802-6773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director DR. EMMANUEL ODI

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