01D2320469 CLIA NUMBER - ANDALUSIA FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 01D2320469
  • Facility Name: ANDALUSIA FAMILY HEALTH CENTER
  • Facility Address: 1021 SANFORD ROAD
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 582-1130
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: BEN SMITH
  • NPI Number: 1629133111
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 01D2320469
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ANDALUSIA FAMILY HEALTH CENTER
Street 1021 SANFORD ROAD
City ANDALUSIA
State AL
ZIP 36420
Phone 334 582-1130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director BEN SMITH

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