01D2248002 CLIA NUMBER - NORTHEAST ALABAMA HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 01D2248002
  • Facility Name: NORTHEAST ALABAMA HOMECARE LLC
  • Facility Address: 4171 ALABAMA HIGHWAY 71
    DUTTON, AL
    ZIP 35744
  • Facility Phone: 256 613-4444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AMANDA L. FOSHEE
  • NPI Number: 1669136081
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2248002
LAB Type Physician Office
Facility Name NORTHEAST ALABAMA HOMECARE LLC
Street 4171 ALABAMA HIGHWAY 71
City DUTTON
State AL
ZIP 35744
Phone 256 613-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director DR. AMANDA L. FOSHEE

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