01D2311034 CLIA NUMBER - IMC-NORTH BALDWIN PHYSICIAN GROUP, LLC DBA DELTA OBGYN

Laboratory Demographics

  • CLIA Code: 01D2311034
  • Facility Name: IMC-NORTH BALDWIN PHYSICIAN GROUP, LLC DBA DELTA OBGYN
  • Facility Address: 2001 MEDICAL CENTER DRIVE
    BAY MINETTE, AL
    ZIP 36507
  • Facility Phone: 251 651-9288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHARLES M. ROGERS
  • NPI Number: 1619473766
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D2311034
LAB Type Physician Office
Facility Name IMC-NORTH BALDWIN PHYSICIAN GROUP, LLC DBA DELTA OBGYN
Street 2001 MEDICAL CENTER DRIVE
City BAY MINETTE
State AL
ZIP 36507
Phone 251 651-9288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director DR. CHARLES M. ROGERS

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