01D1007135 CLIA NUMBER - FOREST MANOR NURSING HOME

Laboratory Demographics

  • CLIA Code: 01D1007135
  • Facility Name: FOREST MANOR NURSING HOME
  • Facility Address: 2215 32ND STREET
    NORTHPORT, AL
    ZIP 35476
  • Facility Phone: 205 339-0400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELVIN R. ROBERTSON
  • NPI Number: 1336129402
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D1007135
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FOREST MANOR NURSING HOME
Street 2215 32ND STREET
City NORTHPORT
State AL
ZIP 35476
Phone 205 339-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELVIN R. ROBERTSON

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