01D2270497 CLIA NUMBER - BAPTIST HEALTH PRIMARY CARE-PRATTVILLE

Laboratory Demographics

  • CLIA Code: 01D2270497
  • Facility Name: BAPTIST HEALTH PRIMARY CARE-PRATTVILLE
  • Facility Address: 645 MCQUEEN SMITH ROAD N, SUITE 309
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 568-4500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CORY LUCKIE
  • NPI Number: 1942557723
  • Taxonomy: 261QH0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2270497
LAB Type Physician Office
Facility Name BAPTIST HEALTH PRIMARY CARE-PRATTVILLE
Street 645 MCQUEEN SMITH ROAD N, SUITE 309
City PRATTVILLE
State AL
ZIP 36066
Phone 334 568-4500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Physician Office
Lab Director DR. CORY LUCKIE

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