01D2217823 CLIA NUMBER - CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC

Laboratory Demographics

  • CLIA Code: 01D2217823
  • Facility Name: CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC
  • Facility Address: 645 MCQUEEN SMITH ROAD N, SUITE 210
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 380-3714
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD IBRAHIM
  • NPI Number: 1255799847
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2217823
LAB Type Physician Office
Facility Name CENTRAL ALABAMA PRIMARY AND URGENT CARE ASSOC, LLC
Street 645 MCQUEEN SMITH ROAD N, SUITE 210
City PRATTVILLE
State AL
ZIP 36066
Phone 334 380-3714
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director MOHAMMAD IBRAHIM

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