01D1056316 CLIA NUMBER - NORTH BALDWIN PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 01D1056316
  • Facility Name: NORTH BALDWIN PEDIATRICS PC
  • Facility Address: 2002 MCMILLAN AVE
    BAY MINETTE, AL
    ZIP 36507
  • Facility Phone: 251 580-8475
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA A. AMMONS-HAGEMEIER
  • NPI Number: 1396805461
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D1056316
LAB Type Physician Office
Facility Name NORTH BALDWIN PEDIATRICS PC
Street 2002 MCMILLAN AVE
City BAY MINETTE
State AL
ZIP 36507
Phone 251 580-8475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director JESSICA A. AMMONS-HAGEMEIER

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