01D2313652 CLIA NUMBER - CENTRAL ALABAMA PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 01D2313652
  • Facility Name: CENTRAL ALABAMA PRIMARY CARE
  • Facility Address: 4163 LOMAC ST
    MONTGOMERY, AL
    ZIP 36106
  • Facility Phone: 334 819-4770
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER KROTHAPALI
  • NPI Number: 1528885795
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2313652
LAB Type Physician Office
Facility Name CENTRAL ALABAMA PRIMARY CARE
Street 4163 LOMAC ST
City MONTGOMERY
State AL
ZIP 36106
Phone 334 819-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director DR. PETER KROTHAPALI

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