01D2087472 CLIA NUMBER - GRANT FAMILY PRACTICE CLINIC

Laboratory Demographics

  • CLIA Code: 01D2087472
  • Facility Name: GRANT FAMILY PRACTICE CLINIC
  • Facility Address: 5447 MAIN STREET
    GRANT, AL
    ZIP 35747
  • Facility Phone: 256 728-2272
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RANDALL K. STEWART MD
  • NPI Number: 1760530497
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2087472
LAB Type Rural Health Clinic
Facility Name GRANT FAMILY PRACTICE CLINIC
Street 5447 MAIN STREET
City GRANT
State AL
ZIP 35747
Phone 256 728-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Rural Health Clinic
Lab Director DR. RANDALL K. STEWART MD

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