01D2137173 CLIA NUMBER - PREMISE HEALTH OF ALABAMA MEDICAL, PC

Laboratory Demographics

  • CLIA Code: 01D2137173
  • Facility Name: PREMISE HEALTH OF ALABAMA MEDICAL, PC
  • Facility Address: 130 RIVERCHASE PARKWAY EAST
    HOOVER, AL
    ZIP 35244
  • Facility Phone: 659 244-2047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY DRAKE
  • NPI Number: 1851941660
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2137173
LAB Type Physician Office
Facility Name PREMISE HEALTH OF ALABAMA MEDICAL, PC
Street 130 RIVERCHASE PARKWAY EAST
City HOOVER
State AL
ZIP 35244
Phone 659 244-2047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director DR. ANTHONY DRAKE

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