01D2119872 CLIA NUMBER - YOUR DOCTOR'S OFFICE

Laboratory Demographics

  • CLIA Code: 01D2119872
  • Facility Name: YOUR DOCTOR'S OFFICE
  • Facility Address: 8630 VAUGHN ROAD
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 676-4076
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SHAIKH WAHIDUZZAMAN
  • NPI Number: 1003267899
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2119872
LAB Type Physician Office
Facility Name YOUR DOCTOR'S OFFICE
Street 8630 VAUGHN ROAD
City MONTGOMERY
State AL
ZIP 36117
Phone 334 676-4076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director DR. SHAIKH WAHIDUZZAMAN

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