01D2197746 CLIA NUMBER - PICKENS COUNTY PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 01D2197746
  • Facility Name: PICKENS COUNTY PRIMARY CARE PC
  • Facility Address: 99 COMMERCE AVENUE
    CARROLLTON, AL
    ZIP 35447
  • Facility Phone: 205 375-6251
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JULIA BOOTHE
  • NPI Number: 1063988806
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2197746
LAB Type Rural Health Clinic
Facility Name PICKENS COUNTY PRIMARY CARE PC
Street 99 COMMERCE AVENUE
City CARROLLTON
State AL
ZIP 35447
Phone 205 375-6251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Rural Health Clinic
Lab Director JULIA BOOTHE

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