01D2017717 CLIA NUMBER - CHAMNONG FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2017717
  • Facility Name: CHAMNONG FAMILY MEDICINE
  • Facility Address: 8300 CROSSLAND LOOP
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 239-8939
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CHAI CHAMNONG
  • NPI Number: 1467756296
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2017717
LAB Type Physician Office
Facility Name CHAMNONG FAMILY MEDICINE
Street 8300 CROSSLAND LOOP
City MONTGOMERY
State AL
ZIP 36117
Phone 334 239-8939
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director CHAI CHAMNONG

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