01D2116291 CLIA NUMBER - FELLOWSHIP HOUSE INC

Laboratory Demographics

  • CLIA Code: 01D2116291
  • Facility Name: FELLOWSHIP HOUSE INC
  • Facility Address: 1625 12TH AVENUE SOUTH
    BIRMINGHAM, AL
    ZIP 35205
  • Facility Phone: 205 933-2430
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ELIZABETH S. NORMAN
  • NPI Number: 1467590984
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D2116291
LAB Type Practitioner Other
Facility Name FELLOWSHIP HOUSE INC
Street 1625 12TH AVENUE SOUTH
City BIRMINGHAM
State AL
ZIP 35205
Phone 205 933-2430
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2024
Certificate Expiration Date 7/21/2026
Facility Type Practitioner Other
Lab Director ELIZABETH S. NORMAN

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