01D2238494 CLIA NUMBER - KEVIN D CAMPBELL CRNP PC

Laboratory Demographics

  • CLIA Code: 01D2238494
  • Facility Name: KEVIN D CAMPBELL CRNP PC
  • Facility Address: 2828 HWY 31 SUITE 107
    DECATUR, AL
    ZIP 35603
  • Facility Phone: 256 351-8870
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN D. CAMPBELL
  • NPI Number: 1477933976
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2238494
LAB Type Physician Office
Facility Name KEVIN D CAMPBELL CRNP PC
Street 2828 HWY 31 SUITE 107
City DECATUR
State AL
ZIP 35603
Phone 256 351-8870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director KEVIN D. CAMPBELL

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This page was last updated on: 6/4/2025