01D2105152 CLIA NUMBER - CRIMSON INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 01D2105152
  • Facility Name: CRIMSON INTERNAL MEDICINE LLC
  • Facility Address: 1015 RICE VALLEY ROAD NORTH
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 349-1606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NANCY T. ROMANENKO
  • NPI Number: 1558731067
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2105152
LAB Type Physician Office
Facility Name CRIMSON INTERNAL MEDICINE LLC
Street 1015 RICE VALLEY ROAD NORTH
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 349-1606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Physician Office
Lab Director NANCY T. ROMANENKO

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