01D2011430 CLIA NUMBER - KEITH C ANDERSON DO

Laboratory Demographics

  • CLIA Code: 01D2011430
  • Facility Name: KEITH C ANDERSON DO
  • Facility Address: 201 GOVERNORS DRIVE 1ST FLOOR
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 533-8091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH C. ANDERSON
  • NPI Number: 1285618975
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 01D2011430
LAB Type Physician Office
Facility Name KEITH C ANDERSON DO
Street 201 GOVERNORS DRIVE 1ST FLOOR
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 533-8091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director KEITH C. ANDERSON

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