01D2002000 CLIA NUMBER - CAPSHAW FAMILY CARE

Laboratory Demographics

  • CLIA Code: 01D2002000
  • Facility Name: CAPSHAW FAMILY CARE
  • Facility Address: 15024 EAST LIMESTONE ROAD
    HARVEST, AL
    ZIP 35749
  • Facility Phone: 256 216-1996
  • Facility Type: Other - HOSP OUTPATIENT PHLEBOTOM
  • Facility Type: Waiver
  • Lab Director: WALLACE SEAY MD
  • NPI Number: 1104260256
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2002000
LAB Type Other - HOSP OUTPATIENT PHLEBOTOM
Facility Name CAPSHAW FAMILY CARE
Street 15024 EAST LIMESTONE ROAD
City HARVEST
State AL
ZIP 35749
Phone 256 216-1996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Other - HOSP OUTPATIENT PHLEBOTOM
Lab Director WALLACE SEAY MD

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