01D2083409 CLIA NUMBER - RAULERSON & RAULERSON PHYSICIANS

Laboratory Demographics

  • CLIA Code: 01D2083409
  • Facility Name: RAULERSON & RAULERSON PHYSICIANS
  • Facility Address: 1205 BELLEVILLE AVENUE
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 867-3606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARSHA D. RAULERSON
  • NPI Number: 1073602173
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D2083409
LAB Type Physician Office
Facility Name RAULERSON & RAULERSON PHYSICIANS
Street 1205 BELLEVILLE AVENUE
City BREWTON
State AL
ZIP 36426
Phone 251 867-3606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director DR. MARSHA D. RAULERSON

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