01D1057825 CLIA NUMBER - NORTH JACKSON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D1057825
  • Facility Name: NORTH JACKSON PRIMARY CARE
  • Facility Address: 42319 US HIGHWAY 72
    STEVENSON, AL
    ZIP 35772
  • Facility Phone: 256 437-2223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD E. CALHOUN JR MD
  • NPI Number: 1679654339
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1057825
LAB Type Physician Office
Facility Name NORTH JACKSON PRIMARY CARE
Street 42319 US HIGHWAY 72
City STEVENSON
State AL
ZIP 35772
Phone 256 437-2223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director RONALD E. CALHOUN JR MD

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