01D2314003 CLIA NUMBER - NEUROPATHWAYS, PLLC

Laboratory Demographics

  • CLIA Code: 01D2314003
  • Facility Name: NEUROPATHWAYS, PLLC
  • Facility Address: 4228 LOMAC STREET, SUITE 2
    MONTGOMERY, AL
    ZIP 36106
  • Facility Phone: 919 928-2351
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MATTHEW C. WALLACE
  • NPI Number: 1619720059
  • Taxonomy: 2084P2900X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 01D2314003
LAB Type Physician Office
Facility Name NEUROPATHWAYS, PLLC
Street 4228 LOMAC STREET, SUITE 2
City MONTGOMERY
State AL
ZIP 36106
Phone 919 928-2351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director DR. MATTHEW C. WALLACE

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