01D2258840 CLIA NUMBER - CULLMAN PRIMARY CARE, PC

Laboratory Demographics

  • CLIA Code: 01D2258840
  • Facility Name: CULLMAN PRIMARY CARE, PC
  • Facility Address: 1801 PARK VIEW DRIVE
    CULLMAN, AL
    ZIP 35058
  • Facility Phone: 256 739-4131
  • Facility Type: Other - PRIMARY CARE
  • Facility Type: Waiver
  • Lab Director: DR. BRAD R. MOODY
  • NPI Number: 1164743068
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2258840
LAB Type Other - PRIMARY CARE
Facility Name CULLMAN PRIMARY CARE, PC
Street 1801 PARK VIEW DRIVE
City CULLMAN
State AL
ZIP 35058
Phone 256 739-4131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Other - PRIMARY CARE
Lab Director DR. BRAD R. MOODY

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