01D2132019 CLIA NUMBER - ALABAMA STATE UNIVERSITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D2132019
  • Facility Name: ALABAMA STATE UNIVERSITY HEALTH CENTER
  • Facility Address: 915 S JACKSON ST SIMPSON HALL GROUND HALL
    MONTGOMERY, AL
    ZIP 36104
  • Facility Phone: 334 229-4438
  • Facility Type: Other - COLLEGE HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: JOYCE LOYD-DAVIS CRNP
  • NPI Number: 1205356938
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 01D2132019
LAB Type Other - COLLEGE HEALTH CENTER
Facility Name ALABAMA STATE UNIVERSITY HEALTH CENTER
Street 915 S JACKSON ST SIMPSON HALL GROUND HALL
City MONTGOMERY
State AL
ZIP 36104
Phone 334 229-4438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Other - COLLEGE HEALTH CENTER
Lab Director JOYCE LOYD-DAVIS CRNP

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