01D1066945 CLIA NUMBER - PHENIX CITY CHILDREN'S & FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 01D1066945
  • Facility Name: PHENIX CITY CHILDREN'S & FAMILY CLINIC
  • Facility Address: 3700 A SOUTH RAIL RD STREET
    PHENIX CITY, AL
    ZIP 36867
  • Facility Phone: 334 664-0463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RITU CHANDRA MD
  • NPI Number: 1780031039
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1066945
LAB Type Physician Office
Facility Name PHENIX CITY CHILDREN'S & FAMILY CLINIC
Street 3700 A SOUTH RAIL RD STREET
City PHENIX CITY
State AL
ZIP 36867
Phone 334 664-0463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Physician Office
Lab Director RITU CHANDRA MD

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