01D2284503 CLIA NUMBER - NORTHSIDE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D2284503
  • Facility Name: NORTHSIDE PRIMARY CARE
  • Facility Address: 19570 GORGAS RD
    NORTHPORT, AL
    ZIP 35475
  • Facility Phone: 205 737-7567
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. CHRISTINE S. FALLS
  • NPI Number: 1225536022
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D2284503
LAB Type Physician Office
Facility Name NORTHSIDE PRIMARY CARE
Street 19570 GORGAS RD
City NORTHPORT
State AL
ZIP 35475
Phone 205 737-7567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Physician Office
Lab Director MS. CHRISTINE S. FALLS

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