01D2329990 CLIA NUMBER - IATRIA GENERAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D2329990
  • Facility Name: IATRIA GENERAL MEDICINE
  • Facility Address: 48 MEDICAL PARK DRIVE E, STE 150
    BIRMINGHAM, AL
    ZIP 35235
  • Facility Phone: 205 396-2225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES W. CUSTIS JR
  • NPI Number: 1629871223
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2329990
LAB Type Physician Office
Facility Name IATRIA GENERAL MEDICINE
Street 48 MEDICAL PARK DRIVE E, STE 150
City BIRMINGHAM
State AL
ZIP 35235
Phone 205 396-2225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director JAMES W. CUSTIS JR

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