01D2143195 CLIA NUMBER - BALDWIN HEALTH PRIMARY CARE PEACHTREE

Laboratory Demographics

  • CLIA Code: 01D2143195
  • Facility Name: BALDWIN HEALTH PRIMARY CARE PEACHTREE
  • Facility Address: 1613 N MCKENZIE ST
    FOLEY, AL
    ZIP 36535
  • Facility Phone: 251 749-3068
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TIMOTHY F. MOTT
  • NPI Number: 1841243714
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2143195
LAB Type Physician Office
Facility Name BALDWIN HEALTH PRIMARY CARE PEACHTREE
Street 1613 N MCKENZIE ST
City FOLEY
State AL
ZIP 36535
Phone 251 749-3068
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director TIMOTHY F. MOTT

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