CLIA lab
CLIA 01D2116647: Moulton Primary Care Clinic
Moulton, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2116647 belongs to Moulton Primary Care Clinic in Moulton, AL.
Certificate of Waiver, effective July 29, 2026, expires July 28, 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 of Waiver
- Certificate effective
- July 29, 2026
- Certificate expiration
- July 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2016
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 01D2116647
- Lab name
- Moulton Primary Care Clinic
- Address
- 40 Medical Circle, Moulton, AL 35650
- Phone
- (256) 974-2225
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adph DBA Lawrence County Home HealthCertificate of Waiver, Home health agency01D1100041
- Amedisys Home Health, A Lawrence Med CTR PartnerCertificate of Waiver, Home health agency01D1018458
- DBA Centerwell Home HealthCertificate of Waiver, Home health agency01D0861022
- Dialysis Clinic Inc - MoultonCertificate of Waiver, End stage renal disease dialysis facility01D0953207
- Donald E Beach MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D0886590
- Hamilton Family Urgent CareCertificate of Waiver, Community clinic01D2313825
- Lawrence County JailCertificate of Waiver, Other01D2264539
- Lawrence Medical CTR, Complete Family Care MD PCCertificate of Waiver, Rural health clinic01D0302603
- Lawrence Medical CenterCertificate of Waiver, Other01D0026952
- Lawrence Rural Health Clinic - MoultonCertificate of Waiver, Rural health clinic01D0897383
Related
Questions
What is the CLIA number for Moulton Primary Care Clinic in Moulton?
01D2116647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Moulton Primary Care Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2116647 expire?
The CMS file lists July 28, 2028 as the certificate expiration date; the certificate took effect July 29, 2026.