01D2017384 CLIA NUMBER - ADDISON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 01D2017384
  • Facility Name: ADDISON MEDICAL CLINIC
  • Facility Address: 16356 COUNTY RD 41
    ADDISON, AL
    ZIP 35540
  • Facility Phone: 256 747-1186
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY M. JAMES MD
  • NPI Number: 1760785406
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2017384
LAB Type Physician Office
Facility Name ADDISON MEDICAL CLINIC
Street 16356 COUNTY RD 41
City ADDISON
State AL
ZIP 35540
Phone 256 747-1186
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Physician Office
Lab Director TERRY M. JAMES MD

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