01D0641638 CLIA NUMBER - ALTOONA HEALTH AND REHAB INC

Laboratory Demographics

  • CLIA Code: 01D0641638
  • Facility Name: ALTOONA HEALTH AND REHAB INC
  • Facility Address: 6532 WALNUT GROVE ROAD
    ALTOONA, AL
    ZIP 35952
  • Facility Phone: 205 589-6394
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK S. SIMMS
  • NPI Number: 1609868595
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0641638
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ALTOONA HEALTH AND REHAB INC
Street 6532 WALNUT GROVE ROAD
City ALTOONA
State AL
ZIP 35952
Phone 205 589-6394
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 MARK S. SIMMS

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