01D2026454 CLIA NUMBER - GULF COAST PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 01D2026454
  • Facility Name: GULF COAST PEDIATRICS LLC
  • Facility Address: 5675 THREE NOTCH ROAD SUITE C
    MOBILE, AL
    ZIP 36619
  • Facility Phone: 251 445-4440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHELLE K. NAMAN MD
  • NPI Number: 1194011288
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2026454
LAB Type Physician Office
Facility Name GULF COAST PEDIATRICS LLC
Street 5675 THREE NOTCH ROAD SUITE C
City MOBILE
State AL
ZIP 36619
Phone 251 445-4440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director DR. MICHELLE K. NAMAN MD

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