01D2141283 CLIA NUMBER - SPRINGVILLE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 01D2141283
  • Facility Name: SPRINGVILLE PEDIATRICS LLC
  • Facility Address: 350 SPRINGVILLE STATION BLVD
    SPRINGVILLE, AL
    ZIP 35146
  • Facility Phone: 256 490-0361
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER STROGOV
  • NPI Number: 1689187080
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2141283
LAB Type Physician Office
Facility Name SPRINGVILLE PEDIATRICS LLC
Street 350 SPRINGVILLE STATION BLVD
City SPRINGVILLE
State AL
ZIP 35146
Phone 256 490-0361
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 PETER STROGOV

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