01D1054860 CLIA NUMBER - MITCHELL INTERNAL MED CLINIC PC

Laboratory Demographics

  • CLIA Code: 01D1054860
  • Facility Name: MITCHELL INTERNAL MED CLINIC PC
  • Facility Address: 2115 CLOYD BLVD SUITE #1
    FLORENCE, AL
    ZIP 35630
  • Facility Phone: 256 718-6858
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRA LYMAN MITCHELL MD
  • NPI Number: 1891866760
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1054860
LAB Type Physician Office
Facility Name MITCHELL INTERNAL MED CLINIC PC
Street 2115 CLOYD BLVD SUITE #1
City FLORENCE
State AL
ZIP 35630
Phone 256 718-6858
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 IRA LYMAN MITCHELL MD

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