01D2300820 CLIA NUMBER - FTP MRI RADIOLOGY

Laboratory Demographics

  • CLIA Code: 01D2300820
  • Facility Name: FTP MRI RADIOLOGY
  • Facility Address: 1110 GLENN BLVD SW, STE B
    FORT PAYNE, AL
    ZIP 35967
  • Facility Phone: 256 845-9402
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. ROSS W. BARNETT
  • NPI Number: 1538925615
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2300820
LAB Type Independent
Facility Name FTP MRI RADIOLOGY
Street 1110 GLENN BLVD SW, STE B
City FORT PAYNE
State AL
ZIP 35967
Phone 256 845-9402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Independent
Lab Director DR. ROSS W. BARNETT

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