01D2203067 CLIA NUMBER - MARSHALL PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 01D2203067
  • Facility Name: MARSHALL PRIMARY CARE, LLC
  • Facility Address: 131 GOLFVIEW DRIVE
    ARAB, AL
    ZIP 35016
  • Facility Phone: 256 652-9081
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TRAY B. NESMITH
  • NPI Number: 1447854039
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2203067
LAB Type Physician Office
Facility Name MARSHALL PRIMARY CARE, LLC
Street 131 GOLFVIEW DRIVE
City ARAB
State AL
ZIP 35016
Phone 256 652-9081
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director TRAY B. NESMITH

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