01D2012054 CLIA NUMBER - GREATER MOBILE URGENT CARE

Laboratory Demographics

  • CLIA Code: 01D2012054
  • Facility Name: GREATER MOBILE URGENT CARE
  • Facility Address: 4402 OLD SHELL ROAD
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 633-0123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DARREN K. WATERS
  • NPI Number: 1275848095
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2012054
LAB Type Physician Office
Facility Name GREATER MOBILE URGENT CARE
Street 4402 OLD SHELL ROAD
City MOBILE
State AL
ZIP 36608
Phone 251 633-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director DR. DARREN K. WATERS

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