CLIA lab
CLIA 01D2129988: Mission Medical Inc
Russellville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2129988 belongs to Mission Medical Inc in Russellville, AL.
Certificate of Waiver, effective April 28, 2025, expires April 27, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 28, 2025
- Certificate expiration
- April 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2017
- 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
- 01D2129988
- Lab name
- Mission Medical Inc
- Address
- 124 Jackson Avenue South, Suite C, Russellville, AL 35653
- Phone
- (256) 398-7212
- Fax
- (256) 857-1123
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Russellville, AL
- Almirol Internal MedicineCertificate of Waiver, Physician office01D2067783
- Bowling Family Medical ClinicCertificate of Waiver, Rural health clinic01D2170100
- Country CottageCertificate of Waiver, Assisted living facility01D2193936
- Family Health Care Clinic Inc - RussellvilleCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center01D2002346
- Family Pharmacy of RussellvilleCertificate of Waiver, Pharmacy01D2225417
- Franklin County JailCertificate of Waiver, Other01D1069290
- Harry W Kuberg MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D0981272
- Health Connect America, IncCertificate of Waiver, Other01D2148294
- Kevin G Kelly MDCertificate of Compliance, Physician office01D0871507
- Lloyd C Dyas MD PCCertificate of Waiver, Physician office01D2068842
Related
Questions
What is the CLIA number for Mission Medical Inc in Russellville?
01D2129988, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mission Medical Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2129988 expire?
The CMS file lists April 27, 2027 as the certificate expiration date; the certificate took effect April 28, 2025.