01D2029472 CLIA NUMBER - IMC NORTH BALDWIN INTERNAL MEDICINE PC

Laboratory Demographics

  • CLIA Code: 01D2029472
  • Facility Name: IMC NORTH BALDWIN INTERNAL MEDICINE PC
  • Facility Address: 2004 MEDICAL CENTER DR SUITE #2
    BAY MINETTE, AL
    ZIP 36507
  • Facility Phone: 251 937-7910
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA M. GARRELTS MD
  • NPI Number: 1841581824
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2029472
LAB Type Physician Office
Facility Name IMC NORTH BALDWIN INTERNAL MEDICINE PC
Street 2004 MEDICAL CENTER DR SUITE #2
City BAY MINETTE
State AL
ZIP 36507
Phone 251 937-7910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director REBECCA M. GARRELTS MD

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