01D2008506 CLIA NUMBER - COLONEL OLA LEE MIZE DEPARTMENT OF VETERANS AFFAIR

Laboratory Demographics

  • CLIA Code: 01D2008506
  • Facility Name: COLONEL OLA LEE MIZE DEPARTMENT OF VETERANS AFFAIR
  • Facility Address: 101 JUDY SMITH DRIVE
    GUNTERSVILLE, AL
    ZIP 35976
  • Facility Phone: 256 382-4022
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: YAN WANG
  • NPI Number: 1265558670
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 01D2008506
LAB Type Community Clinic
Facility Name COLONEL OLA LEE MIZE DEPARTMENT OF VETERANS AFFAIR
Street 101 JUDY SMITH DRIVE
City GUNTERSVILLE
State AL
ZIP 35976
Phone 256 382-4022
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/11/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director YAN WANG

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