01D2305382 CLIA NUMBER - RISE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D2305382
  • Facility Name: RISE PRIMARY CARE
  • Facility Address: 1642 PELHAM RD SUITE #A
    JACKSONVILLE, AL
    ZIP 36265
  • Facility Phone: 256 365-1099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MORGAN R. MARTIN
  • NPI Number: 1992551824
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2305382
LAB Type Physician Office
Facility Name RISE PRIMARY CARE
Street 1642 PELHAM RD SUITE #A
City JACKSONVILLE
State AL
ZIP 36265
Phone 256 365-1099
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Physician Office
Lab Director DR. MORGAN R. MARTIN

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