01D2167707 CLIA NUMBER - PICKENS COUNTY PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 01D2167707
  • Facility Name: PICKENS COUNTY PRIMARY CARE PC
  • Facility Address: 815 7TH AVE SW
    REFORM, AL
    ZIP 35481
  • Facility Phone: 205 375-6351
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JULIA BOOTHE
  • NPI Number: 1982205753
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2167707
LAB Type Rural Health Clinic
Facility Name PICKENS COUNTY PRIMARY CARE PC
Street 815 7TH AVE SW
City REFORM
State AL
ZIP 35481
Phone 205 375-6351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Rural Health Clinic
Lab Director JULIA BOOTHE

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