01D2008803 CLIA NUMBER - CHILDERSBURG OUTPATIENT CLINIC

Laboratory Demographics

  • CLIA Code: 01D2008803
  • Facility Name: CHILDERSBURG OUTPATIENT CLINIC
  • Facility Address: 151 9TH AVENUE NW
    CHILDERSBURG, AL
    ZIP 35044
  • Facility Phone: 256 378-9026
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: LEONA COUNCIL
  • NPI Number: 1013195254
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 01D2008803
LAB Type Community Clinic
Facility Name CHILDERSBURG OUTPATIENT CLINIC
Street 151 9TH AVENUE NW
City CHILDERSBURG
State AL
ZIP 35044
Phone 256 378-9026
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 6/18/2010
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director LEONA COUNCIL

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