01D2115971 CLIA NUMBER - IVY CREEK URGENT CARE ENTERPRISE

Laboratory Demographics

  • CLIA Code: 01D2115971
  • Facility Name: IVY CREEK URGENT CARE ENTERPRISE
  • Facility Address: 6582 BOLL WEEVIL CIRCLE
    ENTERPRISE, AL
    ZIP 36330
  • Facility Phone: 334 347-2027
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN CAMPBELL
  • NPI Number: 1285180729
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2115971
LAB Type Physician Office
Facility Name IVY CREEK URGENT CARE ENTERPRISE
Street 6582 BOLL WEEVIL CIRCLE
City ENTERPRISE
State AL
ZIP 36330
Phone 334 347-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director DR. JOHN CAMPBELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025