01D2173572 CLIA NUMBER - SOUTHEASTERN CARDIOLOGY CONSULTANTS

Laboratory Demographics

  • CLIA Code: 01D2173572
  • Facility Name: SOUTHEASTERN CARDIOLOGY CONSULTANTS
  • Facility Address: 2055 EAST SOUTH BLVD STE 403
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 613-0807
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS J. WOOL
  • NPI Number: 1114080926
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D2173572
LAB Type Physician Office
Facility Name SOUTHEASTERN CARDIOLOGY CONSULTANTS
Street 2055 EAST SOUTH BLVD STE 403
City MONTGOMERY
State AL
ZIP 36116
Phone 334 613-0807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director THOMAS J. WOOL

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