01D1072793 CLIA NUMBER - CRESTWOOD IMAGING AND DIAGNOSTIC SVCS

Laboratory Demographics

  • CLIA Code: 01D1072793
  • Facility Name: CRESTWOOD IMAGING AND DIAGNOSTIC SVCS
  • Facility Address: 700 AIRPORT ROAD SUITE H
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 429-5165
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JOHN R. ROSS
  • NPI Number: 1154622520
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1072793
LAB Type Hospital
Facility Name CRESTWOOD IMAGING AND DIAGNOSTIC SVCS
Street 700 AIRPORT ROAD SUITE H
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 429-5165
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Hospital
Lab Director JOHN R. ROSS

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