01D1011705 CLIA NUMBER - WILLOWBROOKE COURT AT MAGNOLIA TRACE

Laboratory Demographics

  • CLIA Code: 01D1011705
  • Facility Name: WILLOWBROOKE COURT AT MAGNOLIA TRACE
  • Facility Address: 1 CROWN CIRCLE
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 261-1602
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL JOHNSON MD
  • NPI Number: 1013184696
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D1011705
LAB Type Other
Facility Name WILLOWBROOKE COURT AT MAGNOLIA TRACE
Street 1 CROWN CIRCLE
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 261-1602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Other
Lab Director DR. MICHAEL JOHNSON MD

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This page was last updated on: 3/20/2025