CLIA lab
CLIA 01D2119936: Shoals Primary Care LLC / Medical Mall
Tuscumbia, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2119936 belongs to Shoals Primary Care LLC / Medical Mall in Tuscumbia, AL.
Certificate for Provider-Performed Microscopy Procedures, effective October 6, 2026, expires October 5, 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
- October 6, 2026
- Certificate expiration
- October 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 6, 2016
- 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
- 01D2119936
- Lab name
- Shoals Primary Care LLC / Medical Mall
- Address
- 1404 Avalon Ave Suite A, Tuscumbia, AL 35674
- Phone
- (256) 381-5507
- Fax
- (256) 320-5776
Annual test volume the lab reported
- Waived tests
- 1,600
- Provider-performed microscopy tests
- 140
- Total
- 1,740
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 Shoals Primary Care LLC / Medical Mall in Tuscumbia?
01D2119936, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shoals Primary Care LLC / Medical Mall hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 01D2119936 expire?
The CMS file lists October 5, 2028 as the certificate expiration date; the certificate took effect October 6, 2026.