01D2133479 CLIA NUMBER - WELLSTONE BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 01D2133479
  • Facility Name: WELLSTONE BEHAVIORAL HEALTH
  • Facility Address: 4040 SOUTH MEMORIAL PARKWAY
    HUNTSVILLE, AL
    ZIP 35802
  • Facility Phone: 256 533-1970
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JEREMY B. BLAIR LMFT
  • NPI Number: 1407809213
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 01D2133479
LAB Type Community Clinic
Facility Name WELLSTONE BEHAVIORAL HEALTH
Street 4040 SOUTH MEMORIAL PARKWAY
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 533-1970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Community Clinic
Lab Director JEREMY B. BLAIR LMFT

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