01D2303741 CLIA NUMBER - ROCKET CITY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D2303741
  • Facility Name: ROCKET CITY PEDIATRICS
  • Facility Address: 303 WILLIAMS AVENUE SW, SUITE 1211
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 635-8627
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ETHAN J. WHITE
  • NPI Number: 1013771179
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2303741
LAB Type Physician Office
Facility Name ROCKET CITY PEDIATRICS
Street 303 WILLIAMS AVENUE SW, SUITE 1211
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 635-8627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director DR. ETHAN J. WHITE

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