01D1013803 CLIA NUMBER - REHAB AND WELLNESS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 01D1013803
  • Facility Name: REHAB AND WELLNESS CLINIC LLC
  • Facility Address: 1090 HIGHWAY 78 EAST
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 387-9787
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE L. RYALS
  • NPI Number: 1689054645
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D1013803
LAB Type Physician Office
Facility Name REHAB AND WELLNESS CLINIC LLC
Street 1090 HIGHWAY 78 EAST
City JASPER
State AL
ZIP 35501
Phone 205 387-9787
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director GEORGE L. RYALS

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