01D2288359 CLIA NUMBER - TROY PEDIATRIC CLINIC & COLLEGIATE HEALTH

Laboratory Demographics

  • CLIA Code: 01D2288359
  • Facility Name: TROY PEDIATRIC CLINIC & COLLEGIATE HEALTH
  • Facility Address: 717 JOHN H WITHERINGTON DRIVE
    TROY, AL
    ZIP 36081
  • Facility Phone: 334 793-1881
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ROBERT J. BENAK
  • NPI Number: 1902087380
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2288359
LAB Type Physician Office
Facility Name TROY PEDIATRIC CLINIC & COLLEGIATE HEALTH
Street 717 JOHN H WITHERINGTON DRIVE
City TROY
State AL
ZIP 36081
Phone 334 793-1881
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director DR. ROBERT J. BENAK

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