01D1094269 CLIA NUMBER - SOUTHERN ENT & SINUS CENTER PC

Laboratory Demographics

  • CLIA Code: 01D1094269
  • Facility Name: SOUTHERN ENT & SINUS CENTER PC
  • Facility Address: 1809 GADSDEN HWY
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 838-3755
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. JEBELES
  • NPI Number: 1235295973
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 01D1094269
LAB Type Physician Office
Facility Name SOUTHERN ENT & SINUS CENTER PC
Street 1809 GADSDEN HWY
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 838-3755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director JOHN A. JEBELES

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