01D2063460 CLIA NUMBER - BAYSIDE REGENERATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2063460
  • Facility Name: BAYSIDE REGENERATIVE MEDICINE
  • Facility Address: 100 N BANCROFT ST SUITE A-2
    FAIRHOPE, AL
    ZIP 36532
  • Facility Phone: 251 517-1050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTIN KALMBACHER MD MPH
  • NPI Number: 1447691506
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2063460
LAB Type Physician Office
Facility Name BAYSIDE REGENERATIVE MEDICINE
Street 100 N BANCROFT ST SUITE A-2
City FAIRHOPE
State AL
ZIP 36532
Phone 251 517-1050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director KRISTIN KALMBACHER MD MPH

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