CLIA lab

CLIA 01D2050362: Crestwood Phy Srvs DBA Crestwood Family Practice

Madison, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D2050362 belongs to Crestwood Phy Srvs DBA Crestwood Family Practice in Madison, AL.

Certificate of Waiver, effective November 27, 2024, expires November 26, 2026.

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 of Waiver
Certificate effective
November 27, 2024
Certificate expiration
November 26, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 27, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
01D2050362
Lab name
Crestwood Phy Srvs DBA Crestwood Family Practice
Address
12205 County Line Road Suite B, Madison, AL 35758
Phone
(256) 325-6722
Fax
(256) 325-8454

Annual test volume the lab reported

Waived tests
1,300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Crestwood Phy Srvs DBA Crestwood Family Practice in Madison?

01D2050362, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crestwood Phy Srvs DBA Crestwood Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D2050362 expire?

The CMS file lists November 26, 2026 as the certificate expiration date; the certificate took effect November 27, 2024.

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