01D1054292 CLIA NUMBER - PRIMARY CARE CENTER OF MONROEVILLE

Laboratory Demographics

  • CLIA Code: 01D1054292
  • Facility Name: PRIMARY CARE CENTER OF MONROEVILLE
  • Facility Address: 1075 DREWRY RD SUITE B
    MONROEVILLE, AL
    ZIP 36460
  • Facility Phone: 251 575-5988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA A. POWELL MD
  • NPI Number: 1972606531
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1054292
LAB Type Physician Office
Facility Name PRIMARY CARE CENTER OF MONROEVILLE
Street 1075 DREWRY RD SUITE B
City MONROEVILLE
State AL
ZIP 36460
Phone 251 575-5988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director ANGELA A. POWELL MD

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