01D1048892 CLIA NUMBER - ETOWAH PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D1048892
  • Facility Name: ETOWAH PEDIATRICS
  • Facility Address: 170 INDEPENDENT DRIVE
    RAINBOW CITY, AL
    ZIP 35906
  • Facility Phone: 256 413-1467
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BENJAMIN C. HESTER
  • NPI Number: 1972529808
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D1048892
LAB Type Physician Office
Facility Name ETOWAH PEDIATRICS
Street 170 INDEPENDENT DRIVE
City RAINBOW CITY
State AL
ZIP 35906
Phone 256 413-1467
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director DR. BENJAMIN C. HESTER

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