01D2115354 CLIA NUMBER - VALLEY INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2115354
  • Facility Name: VALLEY INTERNAL MEDICINE
  • Facility Address: 22454 US HWY 72 SUITE 330
    ATHENS, AL
    ZIP 35613
  • Facility Phone: 256 262-6380
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. PAULINE LETT-ANDERSON
  • NPI Number: 1831547355
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2115354
LAB Type Community Clinic
Facility Name VALLEY INTERNAL MEDICINE
Street 22454 US HWY 72 SUITE 330
City ATHENS
State AL
ZIP 35613
Phone 256 262-6380
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Community Clinic
Lab Director DR. PAULINE LETT-ANDERSON

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