01D0641763 CLIA NUMBER - LITTLE SISTERS OF POOR SACRED HEART

Laboratory Demographics

  • CLIA Code: 01D0641763
  • Facility Name: LITTLE SISTERS OF POOR SACRED HEART
  • Facility Address: 1655 MCGILL AVENUE
    MOBILE, AL
    ZIP 36604
  • Facility Phone: 251 476-6335
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN A. KAHALLEY MD
  • NPI Number: 1518956424
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0641763
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LITTLE SISTERS OF POOR SACRED HEART
Street 1655 MCGILL AVENUE
City MOBILE
State AL
ZIP 36604
Phone 251 476-6335
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 STEPHEN A. KAHALLEY MD

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