01D1051758 CLIA NUMBER - NORTH RIVER PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D1051758
  • Facility Name: NORTH RIVER PRIMARY CARE ASSOCIATES
  • Facility Address: 4310 WATERMELON ROAD
    NORTH PORT, AL
    ZIP 35473
  • Facility Phone: 205 330-5266
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CLINTON E. MCENTYRE
  • NPI Number: 1336474964
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1051758
LAB Type Physician Office
Facility Name NORTH RIVER PRIMARY CARE ASSOCIATES
Street 4310 WATERMELON ROAD
City NORTH PORT
State AL
ZIP 35473
Phone 205 330-5266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. CLINTON E. MCENTYRE

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