01D2160778 CLIA NUMBER - CARLILE PEDIATRICS MAGNOLIA COMMONS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D2160778
  • Facility Name: CARLILE PEDIATRICS MAGNOLIA COMMONS PEDIATRICS
  • Facility Address: 78 CAMBRIDGE COURT
    WETUMPKA, AL
    ZIP 36093
  • Facility Phone: 334 567-6915
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES M. CARLILE
  • NPI Number: 1013280486
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2160778
LAB Type Physician Office
Facility Name CARLILE PEDIATRICS MAGNOLIA COMMONS PEDIATRICS
Street 78 CAMBRIDGE COURT
City WETUMPKA
State AL
ZIP 36093
Phone 334 567-6915
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director JAMES M. CARLILE

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