01D2268252 CLIA NUMBER - 5IVE STAR DIAGNOSTIC SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 01D2268252
  • Facility Name: 5IVE STAR DIAGNOSTIC SOLUTIONS LLC
  • Facility Address: 1015 MONTLIMAR DR UNIT C5
    MOBILE, AL
    ZIP 36609
  • Facility Phone: 251 308-1852
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MS. BRANDI N. JACKSON
  • NPI Number: 1588420053
  • Taxonomy: 247ZC0005X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 01D2268252
LAB Type Independent
Facility Name 5IVE STAR DIAGNOSTIC SOLUTIONS LLC
Street 1015 MONTLIMAR DR UNIT C5
City MOBILE
State AL
ZIP 36609
Phone 251 308-1852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Independent
Lab Director MS. BRANDI N. JACKSON

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