01D1019713 CLIA NUMBER - CHERYL C BAZZLE MD PC

Laboratory Demographics

  • CLIA Code: 01D1019713
  • Facility Name: CHERYL C BAZZLE MD PC
  • Facility Address: 333 WHITESPORT DRIVE SUITE 103
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 880-9345
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERYL C. BAZZLE MD
  • NPI Number: 1942419643
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D1019713
LAB Type Physician Office
Facility Name CHERYL C BAZZLE MD PC
Street 333 WHITESPORT DRIVE SUITE 103
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 880-9345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director CHERYL C. BAZZLE MD

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