01D2307169 CLIA NUMBER - MOBILE INFIRMARY INTERNAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 01D2307169
  • Facility Name: MOBILE INFIRMARY INTERNAL MEDICINE CLINIC
  • Facility Address: 1720 SPRINGHILL AVENUE, SUITE 401
    MOBILE, AL
    ZIP 36604
  • Facility Phone: 251 210-3250
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. CHIBUZO ODIGWE
  • NPI Number: 1740021476
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2307169
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MOBILE INFIRMARY INTERNAL MEDICINE CLINIC
Street 1720 SPRINGHILL AVENUE, SUITE 401
City MOBILE
State AL
ZIP 36604
Phone 251 210-3250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. CHIBUZO ODIGWE

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