01D2254221 CLIA NUMBER - CLINIC652, LLC

Laboratory Demographics

  • CLIA Code: 01D2254221
  • Facility Name: CLINIC652, LLC
  • Facility Address: 2600 EAST MEIGHAN BLVD
    GADSDEN, AL
    ZIP 35903
  • Facility Phone: 256 399-0101
  • Facility Type: Other - SPECIALTY CLINIC-SEXUAL H
  • Facility Type: Waiver
  • Lab Director: WARREN A. O MEARA-DATES
  • NPI Number: 1508518002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2254221
LAB Type Other - SPECIALTY CLINIC-SEXUAL H
Facility Name CLINIC652, LLC
Street 2600 EAST MEIGHAN BLVD
City GADSDEN
State AL
ZIP 35903
Phone 256 399-0101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Other - SPECIALTY CLINIC-SEXUAL H
Lab Director WARREN A. O MEARA-DATES

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