01D2142868 CLIA NUMBER - GARDENDALE PAIN AND WELLNESS

Laboratory Demographics

  • CLIA Code: 01D2142868
  • Facility Name: GARDENDALE PAIN AND WELLNESS
  • Facility Address: 2215 DECATUR HWY, SUITE 101
    GARDENDALE, AL
    ZIP 35071
  • Facility Phone: 205 608-6199
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. DAVID C. MULKEY
  • NPI Number: 1336632561
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 01D2142868
LAB Type Physician Office
Facility Name GARDENDALE PAIN AND WELLNESS
Street 2215 DECATUR HWY, SUITE 101
City GARDENDALE
State AL
ZIP 35071
Phone 205 608-6199
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Physician Office
Lab Director DR. DAVID C. MULKEY

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