01D2177913 CLIA NUMBER - GLENEAGLES FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2177913
  • Facility Name: GLENEAGLES FAMILY MEDICINE
  • Facility Address: 1102 GLENEAGLES DRIVE SW
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 881-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL F. CARTER
  • NPI Number: 1013409770
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2177913
LAB Type Physician Office
Facility Name GLENEAGLES FAMILY MEDICINE
Street 1102 GLENEAGLES DRIVE SW
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 881-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Physician Office
Lab Director MICHAEL F. CARTER

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This page was last updated on: 6/4/2025