CLIA lab
CLIA 01D2046773: Mountain Lake Urology PC
Scottsboro, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2046773 belongs to Mountain Lake Urology PC in Scottsboro, AL.
Certificate for Provider-Performed Microscopy Procedures, effective September 11, 2026, expires September 10, 2028.
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
- September 11, 2026
- Certificate expiration
- September 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2012
- 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
- 01D2046773
- Lab name
- Mountain Lake Urology PC
- Address
- 304 Park Avenue, Scottsboro, AL 35768
- Phone
- (256) 259-8765
- Fax
- (888) 898-8810
Annual test volume the lab reported
- Waived tests
- 2,000
- Provider-performed microscopy tests
- 960
- Total
- 2,960
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Scottsboro, AL
- Adph DBA Jackson County Home HealthCertificate of Waiver, Home health agency01D1100047
- Air-Evac 32Certificate of Waiver, Ambulance01D1088213
- Alabama Dermatology and Skin SpecialistsCertificate of Waiver, Physician office01D2310538
- American Drug Testing Lab LLCCertificate of Accreditation, Independent01D2064487
- Big C DrugsCertificate of Waiver, Pharmacy01D2201255
- Bma Scottsboro DialysisCertificate of Waiver, End stage renal disease dialysis facility01D0303126
- Cloverdale Rehabilitation and WellnessCertificate of Waiver, Skilled nursing or nursing facility01D0973419
- DBA Heartlite HospiceCertificate of Waiver, Home health agency01D2109907
- DR Mandi Allen-Bell MD PCCertificate of Waiver, Physician office01D2286110
- Devoted Primary Care LLCCertificate of Waiver, Other practitioner01D2295137
Related
Questions
What is the CLIA number for Mountain Lake Urology PC in Scottsboro?
01D2046773, 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 01D2046773 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.