01D0895641 CLIA NUMBER - BRYAN W WHITFIELD MEM HOSP HOME HEALTH

Laboratory Demographics

  • CLIA Code: 01D0895641
  • Facility Name: BRYAN W WHITFIELD MEM HOSP HOME HEALTH
  • Facility Address: 105 US HIGHWAY 80
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 289-0701
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DIANE M. LEWIS
  • NPI Number: 1902933757
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 01D0895641
LAB Type Home Health Agency
Facility Name BRYAN W WHITFIELD MEM HOSP HOME HEALTH
Street 105 US HIGHWAY 80
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 289-0701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Home Health Agency
Lab Director DIANE M. LEWIS

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