01D0870902 CLIA NUMBER - UCHEE PINES LIFESTYLE CENTER

Laboratory Demographics

  • CLIA Code: 01D0870902
  • Facility Name: UCHEE PINES LIFESTYLE CENTER
  • Facility Address: 30 UCHEE PINES RD #75
    SEALE, AL
    ZIP 36875
  • Facility Phone: 334 855-4764
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK SANDOVAL
  • NPI Number: 1891798930
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 01D0870902
LAB Type Physician Office
Facility Name UCHEE PINES LIFESTYLE CENTER
Street 30 UCHEE PINES RD #75
City SEALE
State AL
ZIP 36875
Phone 334 855-4764
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 Physician Office
Lab Director DR. MARK SANDOVAL

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