01D2149053 CLIA NUMBER - IM CLINIC LLC

Laboratory Demographics

  • CLIA Code: 01D2149053
  • Facility Name: IM CLINIC LLC
  • Facility Address: 420 LOWELL DR SE STE 101
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 535-5940
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMER IQBAL
  • NPI Number: 1609378520
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2149053
LAB Type Physician Office
Facility Name IM CLINIC LLC
Street 420 LOWELL DR SE STE 101
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 535-5940
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director OMER IQBAL

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