01D1066029 CLIA NUMBER - ALABAMA OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 01D1066029
  • Facility Name: ALABAMA OUTPATIENT SURGERY CENTER
  • Facility Address: 1323 SUMMIT DRIVE
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 387-4404
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KENDALL C. VAGUE
  • NPI Number: 1043367196
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1066029
LAB Type Ambulatory Surgery Center
Facility Name ALABAMA OUTPATIENT SURGERY CENTER
Street 1323 SUMMIT DRIVE
City JASPER
State AL
ZIP 35501
Phone 205 387-4404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. KENDALL C. VAGUE

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