01D2141241 CLIA NUMBER - CLINIC W, LLC

Laboratory Demographics

  • CLIA Code: 01D2141241
  • Facility Name: CLINIC W, LLC
  • Facility Address: 102 MEDICAL CENTER DR
    CLANTON, AL
    ZIP 35045
  • Facility Phone: 205 287-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID S. WILSON
  • NPI Number: 1578087755
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2141241
LAB Type Physician Office
Facility Name CLINIC W, LLC
Street 102 MEDICAL CENTER DR
City CLANTON
State AL
ZIP 35045
Phone 205 287-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Physician Office
Lab Director DAVID S. WILSON

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