01D1039560 CLIA NUMBER - MAGIC CITY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 01D1039560
  • Facility Name: MAGIC CITY WELLNESS CENTER
  • Facility Address: 3220 5TH AVENUE SOUTH, SUITE 100
    BIRMINGHAM, AL
    ZIP 35222
  • Facility Phone: 205 877-8677
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SCOTT R. WEISBERG
  • NPI Number: 1336507953
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1039560
LAB Type Physician Office
Facility Name MAGIC CITY WELLNESS CENTER
Street 3220 5TH AVENUE SOUTH, SUITE 100
City BIRMINGHAM
State AL
ZIP 35222
Phone 205 877-8677
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Physician Office
Lab Director SCOTT R. WEISBERG

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