01D2039192 CLIA NUMBER - MOBILE PEDIATRIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 01D2039192
  • Facility Name: MOBILE PEDIATRIC CLINIC LLC
  • Facility Address: 1835 OLD SHELL ROAD
    MOBILE, AL
    ZIP 36607
  • Facility Phone: 251 414-5810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE L. SAVELLS
  • NPI Number: 1912271834
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2039192
LAB Type Physician Office
Facility Name MOBILE PEDIATRIC CLINIC LLC
Street 1835 OLD SHELL ROAD
City MOBILE
State AL
ZIP 36607
Phone 251 414-5810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Physician Office
Lab Director KATHERINE L. SAVELLS

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