01D2142470 CLIA NUMBER - KELLY LAMBRETH CRNP LLC

Laboratory Demographics

  • CLIA Code: 01D2142470
  • Facility Name: KELLY LAMBRETH CRNP LLC
  • Facility Address: 55621 LOTTIE RD
    PERDIDO, AL
    ZIP 36562
  • Facility Phone: 251 583-8408
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLY LAMBRETH
  • NPI Number: 1164831525
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2142470
LAB Type Practitioner Other
Facility Name KELLY LAMBRETH CRNP LLC
Street 55621 LOTTIE RD
City PERDIDO
State AL
ZIP 36562
Phone 251 583-8408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Practitioner Other
Lab Director KELLY LAMBRETH

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