01D2152408 CLIA NUMBER - GOODWIN MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 01D2152408
  • Facility Name: GOODWIN MEDICAL CLINIC LLC
  • Facility Address: 431 SOUTH 3RD STREET
    GADSDEN, AL
    ZIP 35901
  • Facility Phone: 256 547-0433
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEREMY D. GOODWIN
  • NPI Number: 1841662020
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2152408
LAB Type Physician Office
Facility Name GOODWIN MEDICAL CLINIC LLC
Street 431 SOUTH 3RD STREET
City GADSDEN
State AL
ZIP 35901
Phone 256 547-0433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director JEREMY D. GOODWIN

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