01D2295099 CLIA NUMBER - CRIMSON CARE NORTH

Laboratory Demographics

  • CLIA Code: 01D2295099
  • Facility Name: CRIMSON CARE NORTH
  • Facility Address: 1116 MITT LARY RD
    NORTHPORT, AL
    ZIP 35475
  • Facility Phone: 205 556-5634
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SASANK R. PERAMSETTY
  • NPI Number: 1962284505
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2295099
LAB Type Physician Office
Facility Name CRIMSON CARE NORTH
Street 1116 MITT LARY RD
City NORTHPORT
State AL
ZIP 35475
Phone 205 556-5634
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director SASANK R. PERAMSETTY

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