01D2312861 CLIA NUMBER - MCCLUSKEY PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 01D2312861
  • Facility Name: MCCLUSKEY PRIMARY CARE LLC
  • Facility Address: 215 INDUSTRIAL BLVD SUITE C
    LEESBURG, AL
    ZIP 35983
  • Facility Phone: 256 526-3331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. MCCLUSKEY
  • NPI Number: 1982447231
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2312861
LAB Type Physician Office
Facility Name MCCLUSKEY PRIMARY CARE LLC
Street 215 INDUSTRIAL BLVD SUITE C
City LEESBURG
State AL
ZIP 35983
Phone 256 526-3331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Physician Office
Lab Director KIMBERLY A. MCCLUSKEY

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