01D2300494 CLIA NUMBER - MADISON FAMILY PRACTICE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 01D2300494
  • Facility Name: MADISON FAMILY PRACTICE ASSOCIATES, PC
  • Facility Address: 1878 JEFF ROAD, SUITE C
    HUNTSVILLE, AL
    ZIP 35806
  • Facility Phone: 256 430-0030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. THOMAS S. ROYSTER
  • NPI Number: 1295978559
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2300494
LAB Type Physician Office
Facility Name MADISON FAMILY PRACTICE ASSOCIATES, PC
Street 1878 JEFF ROAD, SUITE C
City HUNTSVILLE
State AL
ZIP 35806
Phone 256 430-0030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DR. THOMAS S. ROYSTER

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