01D0304822 CLIA NUMBER - WESLEY MANOR METHODIST HOME

Laboratory Demographics

  • Code: 01D0304822
  • Facility Name: WESLEY MANOR METHODIST HOME
  • Facility Address: 718 HONEYSUCKLE RD
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 792-0921
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
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CLIA Record

Field Name Field Value
CLIA Number 01D0304822
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESLEY MANOR METHODIST HOME
Street 718 HONEYSUCKLE RD
City DOTHAN
State AL
ZIP 36301
Phone 334 792-0921
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024