01D2154182 CLIA NUMBER - REGIONAL HEALTH MANAGEMENT CORP JSU CLINIC

Laboratory Demographics

  • CLIA Code: 01D2154182
  • Facility Name: REGIONAL HEALTH MANAGEMENT CORP JSU CLINIC
  • Facility Address: 1701 PELHAM ROAD SOUTH
    JACKSONVILLE, AL
    ZIP 36265
  • Facility Phone: 256 782-5310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM S. BLAGBURN
  • NPI Number: 1154748218
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 01D2154182
LAB Type Physician Office
Facility Name REGIONAL HEALTH MANAGEMENT CORP JSU CLINIC
Street 1701 PELHAM ROAD SOUTH
City JACKSONVILLE
State AL
ZIP 36265
Phone 256 782-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Physician Office
Lab Director ADAM S. BLAGBURN

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