01D2117246 CLIA NUMBER - SOUTHERN IMMEDIATE CARE, INC

Laboratory Demographics

  • CLIA Code: 01D2117246
  • Facility Name: SOUTHERN IMMEDIATE CARE, INC
  • Facility Address: 4100 MCCLELLAN BLVD
    ANNISTON, AL
    ZIP 36201
  • Facility Phone: 256 235-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON JUNKINS
  • NPI Number: 1467909978
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2117246
LAB Type Physician Office
Facility Name SOUTHERN IMMEDIATE CARE, INC
Street 4100 MCCLELLAN BLVD
City ANNISTON
State AL
ZIP 36201
Phone 256 235-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director DR. JASON JUNKINS

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