01D2082819 CLIA NUMBER - SPECIALIZED HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 01D2082819
  • Facility Name: SPECIALIZED HEALTHCARE LLC
  • Facility Address: 2345 MOODY PARKWAY, SUITE 204
    MOODY, AL
    ZIP 35004
  • Facility Phone: 205 640-0001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. REGINALD M. SMITH MD
  • NPI Number: 1194970525
  • Taxonomy: 208VP0000X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2082819
LAB Type Physician Office
Facility Name SPECIALIZED HEALTHCARE LLC
Street 2345 MOODY PARKWAY, SUITE 204
City MOODY
State AL
ZIP 35004
Phone 205 640-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director DR. REGINALD M. SMITH MD

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