01D0941865 CLIA NUMBER - LAFAYETTE NURSING HOME

Laboratory Demographics

  • CLIA Code: 01D0941865
  • Facility Name: LAFAYETTE NURSING HOME
  • Facility Address: 555 B ST SW
    LAFAYETTE, AL
    ZIP 36862
  • Facility Phone: 334 864-9371
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANGELYN R. COLVIN
  • NPI Number: 1861420408
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0941865
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAFAYETTE NURSING HOME
Street 555 B ST SW
City LAFAYETTE
State AL
ZIP 36862
Phone 334 864-9371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANGELYN R. COLVIN

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