01D2014791 CLIA NUMBER - RUSSELLVILLE HOSPITAL DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 01D2014791
  • Facility Name: RUSSELLVILLE HOSPITAL DIAGNOSTIC CENTER
  • Facility Address: 13150 HWY 43 SOUTH, SUITE 11
    RUSSELLVILLE, AL
    ZIP 35653
  • Facility Phone: 256 332-1996
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: CARL A. BARNES
  • NPI Number: 1568799344
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2014791
LAB Type Hospital
Facility Name RUSSELLVILLE HOSPITAL DIAGNOSTIC CENTER
Street 13150 HWY 43 SOUTH, SUITE 11
City RUSSELLVILLE
State AL
ZIP 35653
Phone 256 332-1996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2024
Certificate Expiration Date 10/14/2026
Facility Type Hospital
Lab Director CARL A. BARNES

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