01D0983966 CLIA NUMBER - ANDALUSIA MANOR

Laboratory Demographics

  • CLIA Code: 01D0983966
  • Facility Name: ANDALUSIA MANOR
  • Facility Address: 670 MOORE ROAD
    ANDALUSIA, AL
    ZIP 36420
  • Facility Phone: 334 222-4544
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TRECE MAYS
  • NPI Number: 1407937709
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0983966
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANDALUSIA MANOR
Street 670 MOORE ROAD
City ANDALUSIA
State AL
ZIP 36420
Phone 334 222-4544
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TRECE MAYS

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