01D2319937 CLIA NUMBER - SOUTHEAST PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 01D2319937
  • Facility Name: SOUTHEAST PHYSICIAN NETWORK
  • Facility Address: 1780 MCFARLAND N BLVD
    TUSCALOOSA, AL
    ZIP 35406
  • Facility Phone: 205 345-8208
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JEROME G. SALTARRELLI
  • NPI Number: 1255813119
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2319937
LAB Type Physician Office
Facility Name SOUTHEAST PHYSICIAN NETWORK
Street 1780 MCFARLAND N BLVD
City TUSCALOOSA
State AL
ZIP 35406
Phone 205 345-8208
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Physician Office
Lab Director JEROME G. SALTARRELLI

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