01D2160358 CLIA NUMBER - FORT PAYNE CARE PLUS LLC

Laboratory Demographics

  • CLIA Code: 01D2160358
  • Facility Name: FORT PAYNE CARE PLUS LLC
  • Facility Address: 3000 GAULT AVE
    FORT PAYNE, AL
    ZIP 35967
  • Facility Phone: 256 697-1012
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: BENJAMIN S. FAVIS
  • NPI Number: 1730145988
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2160358
LAB Type Physician Office
Facility Name FORT PAYNE CARE PLUS LLC
Street 3000 GAULT AVE
City FORT PAYNE
State AL
ZIP 35967
Phone 256 697-1012
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director BENJAMIN S. FAVIS

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