01D2041951 CLIA NUMBER - LAWRENCE URGENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 01D2041951
  • Facility Name: LAWRENCE URGENT CARE CENTER
  • Facility Address: 10939 AL HWY 157 SUITE C
    MOULTON, AL
    ZIP 35650
  • Facility Phone: 256 974-6550
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SAMUEL N. GILLESPIE
  • NPI Number: 1972862837
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2041951
LAB Type Community Clinic
Facility Name LAWRENCE URGENT CARE CENTER
Street 10939 AL HWY 157 SUITE C
City MOULTON
State AL
ZIP 35650
Phone 256 974-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Community Clinic
Lab Director SAMUEL N. GILLESPIE

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