01D2015971 CLIA NUMBER - BALDWIN HEALTH PRIMARY AND URGENT CARE ROBERTSDALE

Laboratory Demographics

  • CLIA Code: 01D2015971
  • Facility Name: BALDWIN HEALTH PRIMARY AND URGENT CARE ROBERTSDALE
  • Facility Address: 21141 STATE HIGHWAY 59 SUITE 1 ATTN LISA STOWE
    ROBERTSDALE, AL
    ZIP 36567
  • Facility Phone: 251 424-1160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL T. SANFORD
  • NPI Number: 1295907285
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 01D2015971
LAB Type Physician Office
Facility Name BALDWIN HEALTH PRIMARY AND URGENT CARE ROBERTSDALE
Street 21141 STATE HIGHWAY 59 SUITE 1 ATTN LISA STOWE
City ROBERTSDALE
State AL
ZIP 36567
Phone 251 424-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director DR. MICHAEL T. SANFORD

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