01D1084534 CLIA NUMBER - OLIVER CRAWFORD MD

Laboratory Demographics

  • CLIA Code: 01D1084534
  • Facility Name: OLIVER CRAWFORD MD
  • Facility Address: 218 HOSPITAL AVENUE SUITE B
    OZARK, AL
    ZIP 36360
  • Facility Phone: 334 774-5864
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLIVER W. CRAWFORD
  • NPI Number: 1629055330
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1084534
LAB Type Physician Office
Facility Name OLIVER CRAWFORD MD
Street 218 HOSPITAL AVENUE SUITE B
City OZARK
State AL
ZIP 36360
Phone 334 774-5864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director OLIVER W. CRAWFORD

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