01D2287443 CLIA NUMBER - MOUNDVILLE PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 01D2287443
  • Facility Name: MOUNDVILLE PRIMARY CARE ASSOCIATES
  • Facility Address: 16063 HIGHWAY 69 SOUTH
    MOUNDVILLE, AL
    ZIP 35474
  • Facility Phone: 205 371-2267
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOSHUA D. PRICE
  • NPI Number: 1861174880
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2287443
LAB Type Physician Office
Facility Name MOUNDVILLE PRIMARY CARE ASSOCIATES
Street 16063 HIGHWAY 69 SOUTH
City MOUNDVILLE
State AL
ZIP 35474
Phone 205 371-2267
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director DR. JOSHUA D. PRICE

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