01D2024327 CLIA NUMBER - CHOCTAW URGENT CARE

Laboratory Demographics

  • CLIA Code: 01D2024327
  • Facility Name: CHOCTAW URGENT CARE
  • Facility Address: 1404 E PUSHMATAHA ST
    BUTLER, AL
    ZIP 36904
  • Facility Phone: 205 459-4488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE HENSLEIGH
  • NPI Number: 1013355106
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2024327
LAB Type Physician Office
Facility Name CHOCTAW URGENT CARE
Street 1404 E PUSHMATAHA ST
City BUTLER
State AL
ZIP 36904
Phone 205 459-4488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Physician Office
Lab Director KATHERINE HENSLEIGH

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