01D2268969 CLIA NUMBER - HUNTSVILLE PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 01D2268969
  • Facility Name: HUNTSVILLE PLASTIC SURGERY
  • Facility Address: 2620 CARL T JONES DR SE
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 551-2002
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. PATRICK C. WILSON
  • NPI Number: 1487380069
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 01D2268969
LAB Type Ambulatory Surgery Center
Facility Name HUNTSVILLE PLASTIC SURGERY
Street 2620 CARL T JONES DR SE
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 551-2002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. PATRICK C. WILSON

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