01D2315121 CLIA NUMBER - PRATTVILLE MIDWIFERY

Laboratory Demographics

  • CLIA Code: 01D2315121
  • Facility Name: PRATTVILLE MIDWIFERY
  • Facility Address: 210 MEDICAL CENTER DR
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 895-3705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY H. TAYLOR
  • NPI Number: 1427832195
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 01D2315121
LAB Type Physician Office
Facility Name PRATTVILLE MIDWIFERY
Street 210 MEDICAL CENTER DR
City PRATTVILLE
State AL
ZIP 36066
Phone 334 895-3705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director KIMBERLY H. TAYLOR

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