01D1100701 CLIA NUMBER - NEUROLOGY AND NEURODIAGNOSTICS OF AL LLC

Laboratory Demographics

  • CLIA Code: 01D1100701
  • Facility Name: NEUROLOGY AND NEURODIAGNOSTICS OF AL LLC
  • Facility Address: 1000 SOUTH LAKE PARK SUITE 200
    BIRMINGHAM, AL
    ZIP 35244
  • Facility Phone: 205 536-8736
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DIANE R. COUNCE MD
  • NPI Number: 1750577706
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D1100701
LAB Type Physician Office
Facility Name NEUROLOGY AND NEURODIAGNOSTICS OF AL LLC
Street 1000 SOUTH LAKE PARK SUITE 200
City BIRMINGHAM
State AL
ZIP 35244
Phone 205 536-8736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Physician Office
Lab Director DR. DIANE R. COUNCE MD

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This page was last updated on: 6/4/2025