01D2212608 CLIA NUMBER - LODUCA PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 01D2212608
  • Facility Name: LODUCA PEDIATRICS, LLC
  • Facility Address: 711 DOUGLAS AVE
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 809-3240
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL LODUCA
  • NPI Number: 1467060954
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2212608
LAB Type Physician Office
Facility Name LODUCA PEDIATRICS, LLC
Street 711 DOUGLAS AVE
City BREWTON
State AL
ZIP 36426
Phone 251 809-3240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Physician Office
Lab Director PAUL LODUCA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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