01D1043591 CLIA NUMBER - KNOLLWOOD HEALTHCARE KNOLLWOOD NH LLC

Laboratory Demographics

  • CLIA Code: 01D1043591
  • Facility Name: KNOLLWOOD HEALTHCARE KNOLLWOOD NH LLC
  • Facility Address: 3151-A KNOLLWOOD DRIVE
    MOBILE, AL
    ZIP 36693
  • Facility Phone: 251 661-7608
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DAVIDSON
  • NPI Number: 1609341304
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D1043591
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KNOLLWOOD HEALTHCARE KNOLLWOOD NH LLC
Street 3151-A KNOLLWOOD DRIVE
City MOBILE
State AL
ZIP 36693
Phone 251 661-7608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY DAVIDSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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