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FCI TALLADEGA
NPI 1033719729
Clinic/Center - Prison Health in Telladega, AL

Active since October 30, 2020CLIA 01D0704439 · Waiver
565 E. RENFROE ROAD, TELLADEGA, AL 35160(256) 315-4127(256) 315-4390 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fci Talladega NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FCI TALLADEGA (NPI 1033719729) is a healthcare organization registered as a prison health in Telladega, Alabama and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Casey Delane Sumner, Chief Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1033719729
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameFCI TALLADEGA
Location Address565 E. RENFROE ROADTelladega, AL 35160
Mailing Address565 E. Renfroe RoadTelladega, AL 35160 · (256) 315-4127 · Fax (256) 315-4390
Phone(256) 315-4127
Fax(256) 315-4390
Organization SubpartYesParent: Federal Bureau Of Prisons
Authorized OfficialCasey Delane SumnerChief Pharmacist · (256) 315-4127
Enumeration DateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1033719729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
565 E. RENFROE ROAD, Telladega, AL 35160
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D0704439

Fci Talladega · Talladega, AL
Active · expires Aug 14, 2027
CLIA Number01D0704439
Laboratory TypeOther
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDr. W Mark Holbrook MD Cd
Laboratory Phone(256) 315-4124
Laboratory LocationFci TalladegaAttn Health Services 565 East Renfroe Rd, Talladega, AL 35160
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fci Talladega's NPI number?

The NPI number for Fci Talladega is 1033719729. It was assigned to this organization in the NPPES registry on October 30, 2020.

Where is Fci Talladega located?

Fci Talladega is located at 565 E. Renfroe Road, Telladega, AL 35160. The listed phone number is (256) 315-4127.

What is Fci Talladega's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.

Does Fci Talladega hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0704439) is associated with this NPI, valid through August 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fci Talladega was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.