01D2005247 CLIA NUMBER - GORMAN'S MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 01D2005247
  • Facility Name: GORMAN'S MEDICAL SERVICES LLC
  • Facility Address: 1100 DEKALB PLAZA BLVD SW
    FORT PAYNE, AL
    ZIP 35967
  • Facility Phone: 256 845-0428
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES R. GORMAN
  • NPI Number: 1376870741
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 01D2005247
LAB Type Physician Office
Facility Name GORMAN'S MEDICAL SERVICES LLC
Street 1100 DEKALB PLAZA BLVD SW
City FORT PAYNE
State AL
ZIP 35967
Phone 256 845-0428
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Physician Office
Lab Director JAMES R. GORMAN

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