01D2172406 CLIA NUMBER - CAHABA MEDICAL CARE - CJ DONALD ELEMENTARY

Laboratory Demographics

  • CLIA Code: 01D2172406
  • Facility Name: CAHABA MEDICAL CARE - CJ DONALD ELEMENTARY
  • Facility Address: 715 VALLEY ROAD
    FAIRFIELD, AL
    ZIP 35064
  • Facility Phone: 205 926-2992
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: LACY M. SMITH
  • NPI Number: 1316498041
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2172406
LAB Type Federally Qualified Health Center
Facility Name CAHABA MEDICAL CARE - CJ DONALD ELEMENTARY
Street 715 VALLEY ROAD
City FAIRFIELD
State AL
ZIP 35064
Phone 205 926-2992
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Federally Qualified Health Center
Lab Director LACY M. SMITH

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