01D1020277 CLIA NUMBER - WIREGRASS HOSPICE LLC - HUNTSVILLE

Laboratory Demographics

  • CLIA Code: 01D1020277
  • Facility Name: WIREGRASS HOSPICE LLC - HUNTSVILLE
  • Facility Address: 5000 BRADFORD DRIVE NW STE 3A
    HUNTSVILLE, AL
    ZIP 35805
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLY SANDERS
  • NPI Number: 1770519324
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 01D1020277
LAB Type Hospice
Facility Name WIREGRASS HOSPICE LLC - HUNTSVILLE
Street 5000 BRADFORD DRIVE NW STE 3A
City HUNTSVILLE
State AL
ZIP 35805
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Hospice
Lab Director KELLY SANDERS

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This page was last updated on: 6/4/2025