01D2153996 CLIA NUMBER - EXTENDED ARM PHYSICIANS INC

Laboratory Demographics

  • CLIA Code: 01D2153996
  • Facility Name: EXTENDED ARM PHYSICIANS INC
  • Facility Address: 1725 W 4TH STREET
    MONTGOMERY, AL
    ZIP 36106
  • Facility Phone: 334 262-2071
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEON N. DAVIS
  • NPI Number: 1326009366
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2153996
LAB Type Physician Office
Facility Name EXTENDED ARM PHYSICIANS INC
Street 1725 W 4TH STREET
City MONTGOMERY
State AL
ZIP 36106
Phone 334 262-2071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director LEON N. DAVIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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