01D2011958 CLIA NUMBER - TALLASSEE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2011958
  • Facility Name: TALLASSEE INTERNAL MEDICINE
  • Facility Address: 80 HERREN HILL RD SUITE A
    TALLASSEE, AL
    ZIP 36078
  • Facility Phone: 334 283-3844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEENA BHASIN MD
  • NPI Number: 1295040376
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2011958
LAB Type Physician Office
Facility Name TALLASSEE INTERNAL MEDICINE
Street 80 HERREN HILL RD SUITE A
City TALLASSEE
State AL
ZIP 36078
Phone 334 283-3844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director LEENA BHASIN MD

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