01D2255826 CLIA NUMBER - PRIMARY CARE SELECT LLC

Laboratory Demographics

  • CLIA Code: 01D2255826
  • Facility Name: PRIMARY CARE SELECT LLC
  • Facility Address: 100 PERRY HILL RD, SUITE 575
    MONTGOMERY, AL
    ZIP 36109
  • Facility Phone: 256 302-2305
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY A. CALHOUN
  • NPI Number: 1083375414
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2255826
LAB Type Physician Office
Facility Name PRIMARY CARE SELECT LLC
Street 100 PERRY HILL RD, SUITE 575
City MONTGOMERY
State AL
ZIP 36109
Phone 256 302-2305
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director GARY A. CALHOUN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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