01D2027930 CLIA NUMBER - AMERICAN ESOTERIC LABORATORY - COOSA VALLEY MPL

Laboratory Demographics

  • CLIA Code: 01D2027930
  • Facility Name: AMERICAN ESOTERIC LABORATORY - COOSA VALLEY MPL
  • Facility Address: 315 WEST HICKORY STREET
    SYLACAUGA, AL
    ZIP 35150
  • Facility Phone: 256 401-4160
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. SPOGMAI WASSIMI
  • NPI Number: 1609053263
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 01D2027930
LAB Type Independent
Facility Name AMERICAN ESOTERIC LABORATORY - COOSA VALLEY MPL
Street 315 WEST HICKORY STREET
City SYLACAUGA
State AL
ZIP 35150
Phone 256 401-4160
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Independent
Lab Director DR. SPOGMAI WASSIMI

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