01D2288937 CLIA NUMBER - FIRST SOURCE TESTING LLC

Laboratory Demographics

  • CLIA Code: 01D2288937
  • Facility Name: FIRST SOURCE TESTING LLC
  • Facility Address: 3076 PALISADES COURT, SUITE D
    TUSCALOOSA, AL
    ZIP 35405
  • Facility Phone: 205 710-4903
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KEVIN S. GOUDY
  • NPI Number: 1477332997
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 01D2288937
LAB Type Independent
Facility Name FIRST SOURCE TESTING LLC
Street 3076 PALISADES COURT, SUITE D
City TUSCALOOSA
State AL
ZIP 35405
Phone 205 710-4903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Independent
Lab Director KEVIN S. GOUDY

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