01D2032655 CLIA NUMBER - HOMEWOOD CITY POLICE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 01D2032655
  • Facility Name: HOMEWOOD CITY POLICE DEPARTMENT
  • Facility Address: 1833 29TH AVENUE SO MEDICAL UNIT 2ND FLOOR
    HOMEWOOD, AL
    ZIP 35209
  • Facility Phone: 205 437-1512
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JOHNNY E. BATES MD
  • NPI Number: 1609334374
  • Taxonomy: 363LA2100X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2032655
LAB Type Prison
Facility Name HOMEWOOD CITY POLICE DEPARTMENT
Street 1833 29TH AVENUE SO MEDICAL UNIT 2ND FLOOR
City HOMEWOOD
State AL
ZIP 35209
Phone 205 437-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Prison
Lab Director JOHNNY E. BATES MD

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