01D0304355 CLIA NUMBER - ARABELLA HEALTH & WELLNESS OF MONTGOMERY

Laboratory Demographics

  • CLIA Code: 01D0304355
  • Facility Name: ARABELLA HEALTH & WELLNESS OF MONTGOMERY
  • Facility Address: 4490 VIRGINIA LOOP ROAD
    MONTGOMERY, AL
    ZIP 36116
  • Facility Phone: 334 281-6826
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. DENISE WILLARD
  • NPI Number: 1700427424
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0304355
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARABELLA HEALTH & WELLNESS OF MONTGOMERY
Street 4490 VIRGINIA LOOP ROAD
City MONTGOMERY
State AL
ZIP 36116
Phone 334 281-6826
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 MS. DENISE WILLARD

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This page was last updated on: 6/4/2025