01D2061972 CLIA NUMBER - MARTHA JO CHRISTIAN MD PC

Laboratory Demographics

  • CLIA Code: 01D2061972
  • Facility Name: MARTHA JO CHRISTIAN MD PC
  • Facility Address: 1716 N TEMPLE AVE
    FAYETTE, AL
    ZIP 35555
  • Facility Phone: 205 932-2497
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTHA J. CHRISTIAN
  • NPI Number: 1083612295
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2061972
LAB Type Physician Office
Facility Name MARTHA JO CHRISTIAN MD PC
Street 1716 N TEMPLE AVE
City FAYETTE
State AL
ZIP 35555
Phone 205 932-2497
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director MARTHA J. CHRISTIAN

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