01D2026120 CLIA NUMBER - ST VINCENT'S PRIMARY CARE HOOVER

Laboratory Demographics

  • CLIA Code: 01D2026120
  • Facility Name: ST VINCENT'S PRIMARY CARE HOOVER
  • Facility Address: 1870 CHACE DRIVE SUITE 160
    HOOVER, AL
    ZIP 35244
  • Facility Phone: 205 733-7110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN REAVES
  • NPI Number: 1437207123
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2026120
LAB Type Physician Office
Facility Name ST VINCENT'S PRIMARY CARE HOOVER
Street 1870 CHACE DRIVE SUITE 160
City HOOVER
State AL
ZIP 35244
Phone 205 733-7110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director JOHN REAVES

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