01D2141616 CLIA NUMBER - WILLOW TREE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D2141616
  • Facility Name: WILLOW TREE PEDIATRICS
  • Facility Address: 1167 COUNTY ROAD 437 SUITE B
    CULLMAN, AL
    ZIP 35055
  • Facility Phone: 256 735-4632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEIDI H. BLAIR
  • NPI Number: 1407361108
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2141616
LAB Type Physician Office
Facility Name WILLOW TREE PEDIATRICS
Street 1167 COUNTY ROAD 437 SUITE B
City CULLMAN
State AL
ZIP 35055
Phone 256 735-4632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director HEIDI H. BLAIR

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