01D2273514 CLIA NUMBER - EQUAL JUSTICE INITIATIVE

Laboratory Demographics

  • CLIA Code: 01D2273514
  • Facility Name: EQUAL JUSTICE INITIATIVE
  • Facility Address: 421 ST LUKE'S DRIVE
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 269-1803
  • Facility Type: Other - FREE CLINIC
  • Facility Type: Waiver
  • Lab Director: RYAN PRATT
  • NPI Number: 1366146904
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2273514
LAB Type Other - FREE CLINIC
Facility Name EQUAL JUSTICE INITIATIVE
Street 421 ST LUKE'S DRIVE
City MONTGOMERY
State AL
ZIP 36117
Phone 334 269-1803
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Other - FREE CLINIC
Lab Director RYAN PRATT

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