01D0641606 CLIA NUMBER - TERRACE MANOR NH INC

Laboratory Demographics

  • CLIA Code: 01D0641606
  • Facility Name: TERRACE MANOR NH INC
  • Facility Address: 390 UNDERWOOD ROAD
    RUSSELLVILLE, AL
    ZIP 35653
  • Facility Phone: 256 332-3826
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARILYN TAYLOR RN
  • NPI Number: 1528085560
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0641606
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TERRACE MANOR NH INC
Street 390 UNDERWOOD ROAD
City RUSSELLVILLE
State AL
ZIP 35653
Phone 256 332-3826
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 MARILYN TAYLOR RN

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