01D2262985 CLIA NUMBER - INDIAN HILLS PLASTIC SURGERY, PC

Laboratory Demographics

  • CLIA Code: 01D2262985
  • Facility Name: INDIAN HILLS PLASTIC SURGERY, PC
  • Facility Address: 3601 WATERMELON RD
    NORTHPORT, AL
    ZIP 35473
  • Facility Phone: 205 462-7372
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHELSEA WALLACE
  • NPI Number: 1104555770
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 01D2262985
LAB Type Physician Office
Facility Name INDIAN HILLS PLASTIC SURGERY, PC
Street 3601 WATERMELON RD
City NORTHPORT
State AL
ZIP 35473
Phone 205 462-7372
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director DR. CHELSEA WALLACE

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