01D0718673 CLIA NUMBER - OAK PARK

Laboratory Demographics

  • CLIA Code: 01D0718673
  • Facility Name: OAK PARK
  • Facility Address: 1365 GATEWOOD DR
    AUBURN, AL
    ZIP 36830
  • Facility Phone: 334 826-7200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ASHLEY S. LANE
  • NPI Number: 1982854667
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 01D0718673
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OAK PARK
Street 1365 GATEWOOD DR
City AUBURN
State AL
ZIP 36830
Phone 334 826-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ASHLEY S. LANE

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