01D2038644 CLIA NUMBER - VICTOR E MENDOZA MD

Laboratory Demographics

  • CLIA Code: 01D2038644
  • Facility Name: VICTOR E MENDOZA MD
  • Facility Address: 5130 CYRUS CIRCLE
    BIRMINGHAM, AL
    ZIP 35242
  • Facility Phone: 205 981-0414
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR E. MENDOZA MD
  • NPI Number: 1003831454
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2038644
LAB Type Physician Office
Facility Name VICTOR E MENDOZA MD
Street 5130 CYRUS CIRCLE
City BIRMINGHAM
State AL
ZIP 35242
Phone 205 981-0414
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Physician Office
Lab Director VICTOR E. MENDOZA MD

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