01D2045160 CLIA NUMBER - STATE EMPLOYEES' INSURANCE BOARD/WELLNESS DIVISION

Laboratory Demographics

  • CLIA Code: 01D2045160
  • Facility Name: STATE EMPLOYEES' INSURANCE BOARD/WELLNESS DIVISION
  • Facility Address: 201 SOUTH UNION STREET SUITE 200
    MONTGOMERY, AL
    ZIP 36104
  • Facility Phone: 334 263-8446
  • Facility Type: Other - STATE EMPLOYEES WELLNESS
  • Facility Type: Waiver
  • Lab Director: MS. REBECCA M. NELSON
  • NPI Number: 1376836163
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2045160
LAB Type Other - STATE EMPLOYEES WELLNESS
Facility Name STATE EMPLOYEES' INSURANCE BOARD/WELLNESS DIVISION
Street 201 SOUTH UNION STREET SUITE 200
City MONTGOMERY
State AL
ZIP 36104
Phone 334 263-8446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Other - STATE EMPLOYEES WELLNESS
Lab Director MS. REBECCA M. NELSON

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