01D1061924 CLIA NUMBER - PRIMARY CARE SERVICES-BLOUNT LLC

Laboratory Demographics

  • CLIA Code: 01D1061924
  • Facility Name: PRIMARY CARE SERVICES-BLOUNT LLC
  • Facility Address: 101 LEMLEY DRIVE SUITE A
    ONEONTA, AL
    ZIP 35121
  • Facility Phone: 205 625-3561
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ZAKIR N. KHAN MD
  • NPI Number: 1225108723
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1061924
LAB Type Physician Office
Facility Name PRIMARY CARE SERVICES-BLOUNT LLC
Street 101 LEMLEY DRIVE SUITE A
City ONEONTA
State AL
ZIP 35121
Phone 205 625-3561
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 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Physician Office
Lab Director ZAKIR N. KHAN MD

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This page was last updated on: 3/20/2025