01D2011132 CLIA NUMBER - TROY REGIONAL BRUNDIDGE CLINIC

Laboratory Demographics

  • CLIA Code: 01D2011132
  • Facility Name: TROY REGIONAL BRUNDIDGE CLINIC
  • Facility Address: 664 VETERANS BLVD
    BRUNDIDGE, AL
    ZIP 36010
  • Facility Phone: 334 670-5000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID P. DULANEY
  • NPI Number: 1649373028
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 01D2011132
LAB Type Physician Office
Facility Name TROY REGIONAL BRUNDIDGE CLINIC
Street 664 VETERANS BLVD
City BRUNDIDGE
State AL
ZIP 36010
Phone 334 670-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director DAVID P. DULANEY

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