01D2152338 CLIA NUMBER - OB/GYN ASSOCIATES AT RUSSELL MEDICAL

Laboratory Demographics

  • CLIA Code: 01D2152338
  • Facility Name: OB/GYN ASSOCIATES AT RUSSELL MEDICAL
  • Facility Address: 3368 HWY 280 SUITE 111
    ALEXANDER CITY, AL
    ZIP 35010
  • Facility Phone: 256 397-7730
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN E. DIX
  • NPI Number: 1780853697
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D2152338
LAB Type Physician Office
Facility Name OB/GYN ASSOCIATES AT RUSSELL MEDICAL
Street 3368 HWY 280 SUITE 111
City ALEXANDER CITY
State AL
ZIP 35010
Phone 256 397-7730
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 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director BRIAN E. DIX

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