01D2038142 CLIA NUMBER - ENTERPRISE PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 01D2038142
  • Facility Name: ENTERPRISE PEDIATRIC CLINIC
  • Facility Address: 526 BOLL WEEVIL CIRCLE
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 793-1881
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. NOLA J. ERNEST
  • NPI Number: 1124077052
  • Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered

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CLIA Record

Field Name Field Value
CLIA Number 01D2038142
LAB Type Physician Office
Facility Name ENTERPRISE PEDIATRIC CLINIC
Street 526 BOLL WEEVIL CIRCLE
City ENTERPRISE
State AL
ZIP 36330
Phone 334 793-1881
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 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Physician Office
Lab Director DR. NOLA J. ERNEST

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