01D2038670 CLIA NUMBER - MAGNOLIA CREEK TREATMENT CENTER FOR WOMEN

Laboratory Demographics

  • CLIA Code: 01D2038670
  • Facility Name: MAGNOLIA CREEK TREATMENT CENTER FOR WOMEN
  • Facility Address: 159 MAGNOLIA CREEK DRIVE
    COLUMBIANA, AL
    ZIP 35051
  • Facility Phone: 205 678-4373
  • Facility Type: Other - RESIDENTIAL TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: MS. CANDACE GREEN
  • NPI Number: 1265563993
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D2038670
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name MAGNOLIA CREEK TREATMENT CENTER FOR WOMEN
Street 159 MAGNOLIA CREEK DRIVE
City COLUMBIANA
State AL
ZIP 35051
Phone 205 678-4373
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director MS. CANDACE GREEN

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