01D2174335 CLIA NUMBER - MONROEVILLE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D2174335
  • Facility Name: MONROEVILLE HEALTH CENTER
  • Facility Address: 3040 S ALABAMA AVE
    MONROEVILLE, AL
    ZIP 36460
  • Facility Phone: 334 874-7428
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: THOMAS BROUGHTON
  • NPI Number: 1629090626
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2174335
LAB Type Federally Qualified Health Center
Facility Name MONROEVILLE HEALTH CENTER
Street 3040 S ALABAMA AVE
City MONROEVILLE
State AL
ZIP 36460
Phone 334 874-7428
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Federally Qualified Health Center
Lab Director THOMAS BROUGHTON

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