01D0986277 CLIA NUMBER - TRAYLOR RETIREMENT COMMUNITY

Laboratory Demographics

  • CLIA Code: 01D0986277
  • Facility Name: TRAYLOR RETIREMENT COMMUNITY
  • Facility Address: 1235 YANCEY STREET
    ROANOKE, AL
    ZIP 36274
  • Facility Phone: 334 863-3500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KEITH FULLER
  • NPI Number: 1598159501
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0986277
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRAYLOR RETIREMENT COMMUNITY
Street 1235 YANCEY STREET
City ROANOKE
State AL
ZIP 36274
Phone 334 863-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KEITH FULLER

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