01D2069836 CLIA NUMBER - SCOTTSBORO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D2069836
  • Facility Name: SCOTTSBORO PEDIATRICS
  • Facility Address: 1508 SOUTH BROAD ST SUITE 300
    SCOTTSBORO, AL
    ZIP 35768
  • Facility Phone: 256 259-3600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MUHAMMAD AMJAD
  • NPI Number: 1376966416
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2069836
LAB Type Physician Office
Facility Name SCOTTSBORO PEDIATRICS
Street 1508 SOUTH BROAD ST SUITE 300
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 259-3600
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 12/26/2023
Certificate Expiration Date 12/25/2025
Facility Type Physician Office
Lab Director DR. MUHAMMAD AMJAD

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