01D1024537 CLIA NUMBER - WESLEY GARDENS

Laboratory Demographics

CLIA Number: 01D1024537

Facility Name: WESLEY GARDENS

Facility Address:
1555 TAYLOR ROAD
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: 334 272-7917

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1851998686

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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
CertificateType	4
CertificateEffectiveDate	4/14/2024
CertificateExpirationDate	4/13/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024