01D1024537 CLIA NUMBER - WESLEY GARDENS

Laboratory Demographics

  • CLIA Code: 01D1024537
  • Facility Name: WESLEY GARDENS
  • Facility Address: 1555 TAYLOR ROAD
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 272-7917
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: RANDY L. ALLEN
  • NPI Number: 1851998686
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D1024537
LAB Type Assisted Living Facility
Facility Name WESLEY GARDENS
Street 1555 TAYLOR ROAD
City MONTGOMERY
State AL
ZIP 36117
Phone 334 272-7917
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Assisted Living Facility
Lab Director RANDY L. ALLEN

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