01D2313811 CLIA NUMBER - SET APART PEDIATRICS

Laboratory Demographics

  • CLIA Code: 01D2313811
  • Facility Name: SET APART PEDIATRICS
  • Facility Address: 2112 6TH AVENUE SE
    DECATUR, AL
    ZIP 35601
  • Facility Phone: 256 274-5640
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. KIMBERLY DUDLEY
  • NPI Number: 1124847983
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2313811
LAB Type Physician Office
Facility Name SET APART PEDIATRICS
Street 2112 6TH AVENUE SE
City DECATUR
State AL
ZIP 35601
Phone 256 274-5640
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Physician Office
Lab Director DR. KIMBERLY DUDLEY

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