01D0303871 CLIA NUMBER - PRATTVILLE HEALTH AND REHABILITATION LLC

Laboratory Demographics

  • CLIA Code: 01D0303871
  • Facility Name: PRATTVILLE HEALTH AND REHABILITATION LLC
  • Facility Address: 601 JASMINE TRAIL
    PRATTVILLE, AL
    ZIP 36066
  • Facility Phone: 334 365-2241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHANDRA MCCALL
  • NPI Number: 1508813163
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0303871
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRATTVILLE HEALTH AND REHABILITATION LLC
Street 601 JASMINE TRAIL
City PRATTVILLE
State AL
ZIP 36066
Phone 334 365-2241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHANDRA MCCALL

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