CLIA lab
CLIA 01D2009507: Mountain Lake Urology PC
Fort Payne, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2009507 belongs to Mountain Lake Urology PC in Fort Payne, AL.
Certificate for Provider-Performed Microscopy Procedures, effective January 20, 2025, expires January 19, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- January 20, 2025
- Certificate expiration
- January 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 2010
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D2009507
- Lab name
- Mountain Lake Urology PC
- Address
- 1608 Glenn Blvd SW, Fort Payne, AL 35968
- Phone
- (256) 259-8765
- Fax
- (256) 716-8060
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 250
- Total
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Payne, AL
- Adph DBA Dekalb County Home HealthCertificate of Waiver, Home health agency01D1100059
- Clinical Urology Associates PCCertificate of Waiver, Physician office01D0684058
- Cole Surgical ArtsCertificate of Waiver, Physician office01D2170573
- Crowne Health Care of Fort PayneCertificate of Waiver, Skilled nursing or nursing facility01D0678849
- DBA Dekalb General Surgery and BariatricsCertificate of Waiver, Physician office01D0865501
- DBA Encore Medical SpaCertificate of Waiver, Physician office01D2161754
- Dale R Stierwalt MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D0303678
- Dekalb County Detention CenterCertificate of Waiver, Other01D2275484
- Dekalb Family MedicineCertificate of Waiver, Physician office01D2047519
- Dekalb MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D2114894
Related
Questions
What is the CLIA number for Mountain Lake Urology PC in Fort Payne?
01D2009507, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mountain Lake Urology PC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 01D2009507 expire?
The CMS file lists January 19, 2027 as the certificate expiration date; the certificate took effect January 20, 2025.