01D0306171 CLIA NUMBER - PINES OF CAMDEN, LLC, THE

Laboratory Demographics

  • CLIA Code: 01D0306171
  • Facility Name: PINES OF CAMDEN, LLC, THE
  • Facility Address: 550 PONDEROSA DRIVE
    CAMDEN, AL
    ZIP 36726
  • Facility Phone: 334 682-4231
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANN R. OTT
  • NPI Number: 1356441257
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 01D0306171
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINES OF CAMDEN, LLC, THE
Street 550 PONDEROSA DRIVE
City CAMDEN
State AL
ZIP 36726
Phone 334 682-4231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANN R. OTT

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This page was last updated on: 9/29/2025