01D2207909 CLIA NUMBER - ROCKET CITY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2207909
  • Facility Name: ROCKET CITY FAMILY MEDICINE
  • Facility Address: 4704 WHITESBURG DRIVE, SUITE 201
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 489-5215
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN A. COST
  • NPI Number: 1609417195
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2207909
LAB Type Physician Office
Facility Name ROCKET CITY FAMILY MEDICINE
Street 4704 WHITESBURG DRIVE, SUITE 201
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 489-5215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director BRIAN A. COST

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