01D2304249 CLIA NUMBER - SOUTHERN IMMEDIATE CARE HOMEWOOD

Laboratory Demographics

  • CLIA Code: 01D2304249
  • Facility Name: SOUTHERN IMMEDIATE CARE HOMEWOOD
  • Facility Address: 1944 28TH AVENUE SOUTH
    HOMEWOOD, AL
    ZIP 35209
  • Facility Phone: 205 409-2794
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON C. JUNKINS
  • NPI Number: 1508804279
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 01D2304249
LAB Type Physician Office
Facility Name SOUTHERN IMMEDIATE CARE HOMEWOOD
Street 1944 28TH AVENUE SOUTH
City HOMEWOOD
State AL
ZIP 35209
Phone 205 409-2794
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Physician Office
Lab Director DR. JASON C. JUNKINS

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