01D2219560 CLIA NUMBER - SOUTHEASTERN DIABETES EDUCATION SERVICES, INC

Laboratory Demographics

  • CLIA Code: 01D2219560
  • Facility Name: SOUTHEASTERN DIABETES EDUCATION SERVICES, INC
  • Facility Address: 500 CHASE PARK SOUTH, SUITE 104
    BIRMINGHAM, AL
    ZIP 35244
  • Facility Phone: 205 490-5027
  • Facility Type: Other - DIABETES CAMP
  • Facility Type: Waiver
  • Lab Director: JOHN C. LATIMER III
  • NPI Number: 1033258686
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 01D2219560
LAB Type Other - DIABETES CAMP
Facility Name SOUTHEASTERN DIABETES EDUCATION SERVICES, INC
Street 500 CHASE PARK SOUTH, SUITE 104
City BIRMINGHAM
State AL
ZIP 35244
Phone 205 490-5027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Other - DIABETES CAMP
Lab Director JOHN C. LATIMER III

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