01D2160395 CLIA NUMBER - GREEN HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 01D2160395
  • Facility Name: GREEN HEALTH, LLC
  • Facility Address: 2004 AIRPORT ROAD #212
    HUNTSVILLE, AL
    ZIP 35801
  • Facility Phone: 256 784-7336
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TYLER R. GREEN
  • NPI Number: 1518439918
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2160395
LAB Type Physician Office
Facility Name GREEN HEALTH, LLC
Street 2004 AIRPORT ROAD #212
City HUNTSVILLE
State AL
ZIP 35801
Phone 256 784-7336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director TYLER R. GREEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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