01D1103131 CLIA NUMBER - TRICITY NEUROLOGY LLC

Laboratory Demographics

  • CLIA Code: 01D1103131
  • Facility Name: TRICITY NEUROLOGY LLC
  • Facility Address: 200 EAST BATTLE ST
    TALLADEGA, AL
    ZIP 35160
  • Facility Phone: 256 362-9677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAZAL RAHIM MD
  • NPI Number: 1437384732
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1103131
LAB Type Physician Office
Facility Name TRICITY NEUROLOGY LLC
Street 200 EAST BATTLE ST
City TALLADEGA
State AL
ZIP 35160
Phone 256 362-9677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director FAZAL RAHIM MD

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