01D1094593 CLIA NUMBER - MYRTLE E GOORE MD

Laboratory Demographics

  • CLIA Code: 01D1094593
  • Facility Name: MYRTLE E GOORE MD
  • Facility Address: ATTENTION ADRIENNE BOOZER 3184 PARLIAMENT CIRCLE SUITE 201
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 244-1161
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MYRTLE E. GOORE MD
  • NPI Number: 1942366745
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D1094593
LAB Type Physician Office
Facility Name MYRTLE E GOORE MD
Street ATTENTION ADRIENNE BOOZER 3184 PARLIAMENT CIRCLE SUITE 201
City MONTGOMERY
State AL
ZIP 36116
Phone 334 244-1161
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Physician Office
Lab Director MYRTLE E. GOORE MD

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