01D2023409 CLIA NUMBER - JERRY V MOSLEY MD PC

Laboratory Demographics

  • CLIA Code: 01D2023409
  • Facility Name: JERRY V MOSLEY MD PC
  • Facility Address: 701 E 19TH ST
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 221-1516
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY V. MOSLEY
  • NPI Number: 1821106592
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2023409
LAB Type Physician Office
Facility Name JERRY V MOSLEY MD PC
Street 701 E 19TH ST
City JASPER
State AL
ZIP 35501
Phone 205 221-1516
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director JERRY V. MOSLEY

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