01D2236316 CLIA NUMBER - SUMMIT PHYSICIAN GROUP, LLP

Laboratory Demographics

  • CLIA Code: 01D2236316
  • Facility Name: SUMMIT PHYSICIAN GROUP, LLP
  • Facility Address: 657 HELEN KELLER BLVD
    TUSCALOOSA, AL
    ZIP 35404
  • Facility Phone: 205 393-2347
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES E. ABNEY
  • NPI Number: 1104343581
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2236316
LAB Type Physician Office
Facility Name SUMMIT PHYSICIAN GROUP, LLP
Street 657 HELEN KELLER BLVD
City TUSCALOOSA
State AL
ZIP 35404
Phone 205 393-2347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Physician Office
Lab Director CHARLES E. ABNEY

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