01D0641802 CLIA NUMBER - LAKE MARTIN COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 01D0641802
  • Facility Name: LAKE MARTIN COMMUNITY HOSPITAL
  • Facility Address: 201 MARIARDEN ROAD
    DADEVILLE, AL
    ZIP 36853
  • Facility Phone: 256 825-3235
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEVEN ALEXANDER MANN
  • NPI Number: 1952407215
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D0641802
LAB Type Hospital
Facility Name LAKE MARTIN COMMUNITY HOSPITAL
Street 201 MARIARDEN ROAD
City DADEVILLE
State AL
ZIP 36853
Phone 256 825-3235
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/21/2023
Certificate Expiration Date 6/20/2025
Facility Type Hospital
Lab Director DR. STEVEN ALEXANDER MANN

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This page was last updated on: 3/20/2025