01D2095676 CLIA NUMBER - MADISON MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D2095676
  • Facility Name: MADISON MEDICAL ASSOCIATES
  • Facility Address: 3809 SULLIVAN STREET STE 4
    MADISON, AL
    ZIP 35758
  • Facility Phone: 256 325-1160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN P. KALISZAK DO
  • NPI Number: 1538540729
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2095676
LAB Type Physician Office
Facility Name MADISON MEDICAL ASSOCIATES
Street 3809 SULLIVAN STREET STE 4
City MADISON
State AL
ZIP 35758
Phone 256 325-1160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director JOHN P. KALISZAK DO

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