01D1057434 CLIA NUMBER - KARA WALLACE MD PC

Laboratory Demographics

  • CLIA Code: 01D1057434
  • Facility Name: KARA WALLACE MD PC
  • Facility Address: 4650 WHITESBURG DR SUITE 204
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 533-5211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARA WALLACE MD
  • NPI Number: 1487844643
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1057434
LAB Type Physician Office
Facility Name KARA WALLACE MD PC
Street 4650 WHITESBURG DR SUITE 204
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 533-5211
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director KARA WALLACE MD

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