01D2349228 CLIA NUMBER - OLIVE BRANCH PRIMARY CARE & WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 01D2349228
  • Facility Name: OLIVE BRANCH PRIMARY CARE & WELLNESS, LLC
  • Facility Address: 210 MEDICAL CENTER DR
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: (334) 430-1304
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY A. HINDI
  • NPI Number: 1487561650
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2349228
LAB Type Physician Office
Facility Name OLIVE BRANCH PRIMARY CARE & WELLNESS, LLC
Street 210 MEDICAL CENTER DR
City PRATTVILLE
State AL
ZIP 36066
Phone 3344301304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2026
Certificate Expiration Date 8/17/2028
Facility Type Physician Office
Lab Director KIMBERLY A. HINDI

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This page was last updated on: 9/8/2026