01D2323489 CLIA NUMBER - GRAY UROLOGY WELLNESS

Laboratory Demographics

  • CLIA Code: 01D2323489
  • Facility Name: GRAY UROLOGY WELLNESS
  • Facility Address: 1985 ALABAMA HWY 157 SUITE B
    CULLMAN, AL
    ZIP 35058
  • Facility Phone: 256 300-2595
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. AMY BURDETTE-GRAY
  • NPI Number: 1346046695
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 01D2323489
LAB Type Practitioner Other
Facility Name GRAY UROLOGY WELLNESS
Street 1985 ALABAMA HWY 157 SUITE B
City CULLMAN
State AL
ZIP 35058
Phone 256 300-2595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Practitioner Other
Lab Director MS. AMY BURDETTE-GRAY

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