01D2177734 CLIA NUMBER - HERITAGE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 01D2177734
  • Facility Name: HERITAGE PEDIATRICS LLC
  • Facility Address: 3368 HIGHWAY 280 SUITE 108
    ALEXANDER CITY, AL
    ZIP 35010
  • Facility Phone: 256 537-9091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANTE M. RUFFIN
  • NPI Number: 1982240941
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2177734
LAB Type Physician Office
Facility Name HERITAGE PEDIATRICS LLC
Street 3368 HIGHWAY 280 SUITE 108
City ALEXANDER CITY
State AL
ZIP 35010
Phone 256 537-9091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director CHANTE M. RUFFIN

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