01D0893098 CLIA NUMBER - SOUTHERN SPRINGS NURSING HOME

Laboratory Demographics

  • CLIA Code: 01D0893098
  • Facility Name: SOUTHERN SPRINGS NURSING HOME
  • Facility Address: 745 SOUTHERN SPRINGS ROAD
    UNION SPRINGS, AL
    ZIP 36089
  • Facility Phone: 334 738-5590
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTY TANNER
  • NPI Number: 1609872290
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0893098
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHERN SPRINGS NURSING HOME
Street 745 SOUTHERN SPRINGS ROAD
City UNION SPRINGS
State AL
ZIP 36089
Phone 334 738-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KRISTY TANNER

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