01D2291532 CLIA NUMBER - ALLIANCE PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 01D2291532
  • Facility Name: ALLIANCE PRIMARY CARE, LLC
  • Facility Address: 5330 STADIUM TRACE PKWY, SUITE 150
    HOOVER, AL
    ZIP 35244
  • Facility Phone: 205 588-1748
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANISA SSENGOBA-UBOGU
  • NPI Number: 1457032500
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2291532
LAB Type Physician Office
Facility Name ALLIANCE PRIMARY CARE, LLC
Street 5330 STADIUM TRACE PKWY, SUITE 150
City HOOVER
State AL
ZIP 35244
Phone 205 588-1748
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 10/11/2025
Certificate Expiration Date 10/10/2027
Facility Type Physician Office
Lab Director DR. ANISA SSENGOBA-UBOGU

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