01D2156974 CLIA NUMBER - PRICEVILLE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D2156974
  • Facility Name: PRICEVILLE PRIMARY CARE
  • Facility Address: 68 MARCO DRIVE SE
    DECATUR, AL
    ZIP 35603
  • Facility Phone: 256 973-5650
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: BROOKE BEVIS
  • NPI Number: 1407339328
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2156974
LAB Type Community Clinic
Facility Name PRICEVILLE PRIMARY CARE
Street 68 MARCO DRIVE SE
City DECATUR
State AL
ZIP 35603
Phone 256 973-5650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Community Clinic
Lab Director BROOKE BEVIS

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