01D1044364 CLIA NUMBER - MARK C COOPER MD PC

Laboratory Demographics

  • CLIA Code: 01D1044364
  • Facility Name: MARK C COOPER MD PC
  • Facility Address: 505 BURLINGTON STREET
    SCOTTSBORO, AL
    ZIP 35768
  • Facility Phone: 256 259-4100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK C. COOPER MD
  • NPI Number: 1225080849
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1044364
LAB Type Physician Office
Facility Name MARK C COOPER MD PC
Street 505 BURLINGTON STREET
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 259-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director MARK C. COOPER MD

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