01D2174476 CLIA NUMBER - BIRMINGHAM INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D2174476
  • Facility Name: BIRMINGHAM INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 339 WALKER CHAPEL PLAZA, SUITE 115
    FULTONDALE, AL
    ZIP 35068
  • Facility Phone: 205 250-6400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KELLI F. GRINDER
  • NPI Number: 1922334945
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2174476
LAB Type Physician Office
Facility Name BIRMINGHAM INTERNAL MEDICINE ASSOCIATES
Street 339 WALKER CHAPEL PLAZA, SUITE 115
City FULTONDALE
State AL
ZIP 35068
Phone 205 250-6400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. KELLI F. GRINDER

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