01D2148282 CLIA NUMBER - MCMD LLC

Laboratory Demographics

CLIA Number: 01D2148282

Facility Name: MCMD LLC

Facility Address:
22292 HIGHWAY 72
ATHENS, AL
ZIP 35613
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Facility Phone Number: 251 769-2028

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134589856

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	01D2148282
LAB Type	Physician Office
Facility Name	MCMD LLC
Street	22292 HIGHWAY 72
City	ATHENS
State	AL
ZIP	35613
Phone	251 769-2028
CertificateType	4
CertificateEffectiveDate	5/8/2024
CertificateExpirationDate	5/7/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024