CLIA lab
CLIA 01D2163923: Tennessee Valley Pediatrics Russellville Clinic
Russellville, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2163923 belongs to Tennessee Valley Pediatrics Russellville Clinic in Russellville, AL.
Certificate of Waiver, effective March 22, 2025, expires March 21, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 22, 2025
- Certificate expiration
- March 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2019
- 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
- 01D2163923
- Lab name
- Tennessee Valley Pediatrics Russellville Clinic
- Address
- 605 Gandy Street, Russellville, AL 35653
- Phone
- (256) 381-6963
- Fax
- (256) 381-6018
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
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 Tennessee Valley Pediatrics Russellville Clinic in Russellville?
01D2163923, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tennessee Valley Pediatrics Russellville Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2163923 expire?
The CMS file lists March 21, 2027 as the certificate expiration date; the certificate took effect March 22, 2025.