01D1087108 CLIA NUMBER - WHITESBURG FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 01D1087108
  • Facility Name: WHITESBURG FAMILY MEDICINE
  • Facility Address: 2876 BOB WALLACE AVE SW
    HUNTSVILLE, AL
    ZIP 35805
  • Facility Phone: 256 327-0888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELISA J. HALEY
  • NPI Number: 1114092830
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1087108
LAB Type Physician Office
Facility Name WHITESBURG FAMILY MEDICINE
Street 2876 BOB WALLACE AVE SW
City HUNTSVILLE
State AL
ZIP 35805
Phone 256 327-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director DR. ELISA J. HALEY

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