01D2284924 CLIA NUMBER - CEDAR STREET MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D2284924
  • Facility Name: CEDAR STREET MEDICAL ASSOCIATES
  • Facility Address: 220 CEDAR STREET NW
    HARTSELLE, AL
    ZIP 35640
  • Facility Phone: 256 773-2260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MS. LORI A. HENRY
  • NPI Number: 1912486937
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2284924
LAB Type Physician Office
Facility Name CEDAR STREET MEDICAL ASSOCIATES
Street 220 CEDAR STREET NW
City HARTSELLE
State AL
ZIP 35640
Phone 256 773-2260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director MS. LORI A. HENRY

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