01D2170776 CLIA NUMBER - JES MOBILE LABS TO GO LLC

Laboratory Demographics

  • CLIA Code: 01D2170776
  • Facility Name: JES MOBILE LABS TO GO LLC
  • Facility Address: 1111 JOHN OVERTON DRIVE
    MONTGOMERY, AL
    ZIP 36110
  • Facility Phone: 334 647-1183
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JESSICA M. ROGERS-WALLER
  • NPI Number: 1174188312
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 01D2170776
LAB Type Mobile Laboratory
Facility Name JES MOBILE LABS TO GO LLC
Street 1111 JOHN OVERTON DRIVE
City MONTGOMERY
State AL
ZIP 36110
Phone 334 647-1183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Mobile Laboratory
Lab Director JESSICA M. ROGERS-WALLER

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