01D2043449 CLIA NUMBER - J D BLANKENSHIP DO LLC

Laboratory Demographics

  • CLIA Code: 01D2043449
  • Facility Name: J D BLANKENSHIP DO LLC
  • Facility Address: 204 LOWE AVE SE, SUITE 2
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 534-7235
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOHN D. BLANKENSHIP
  • NPI Number: 1679854269
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2043449
LAB Type Physician Office
Facility Name J D BLANKENSHIP DO LLC
Street 204 LOWE AVE SE, SUITE 2
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 534-7235
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director DR. JOHN D. BLANKENSHIP

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This page was last updated on: 6/4/2025