01D0301882 CLIA NUMBER - ALICEVILLE MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 01D0301882
  • Facility Name: ALICEVILLE MANOR NURSING HOME
  • Facility Address: 703 17TH STREET NW
    ALICEVILLE, AL
    ZIP 35442
  • Facility Phone: 205 373-6307
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DALE T. ROBBINS MD
  • NPI Number: 1407205396
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0301882
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALICEVILLE MANOR NURSING HOME
Street 703 17TH STREET NW
City ALICEVILLE
State AL
ZIP 35442
Phone 205 373-6307
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DALE T. ROBBINS MD

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This page was last updated on: 3/20/2025