01D2169157 CLIA NUMBER - BRIGHTER PATH MONTGOMERY TRUECORE BEHAVIORAL HEALTH

Laboratory Demographics

CLIA Code: 01D2169157
Facility Name: BRIGHTER PATH MONTGOMERY TRUECORE BEHAVIORAL HEALTH
Facility Address: 135 MILDRED STREET
MONTGOMERY, AL
ZIP 36104
Facility Phone: 334 647-1780
Facility Type: School/Student Health Service
Facility Type: Waiver
Lab Director: DR. OLUYINKA S. ADEDIJI
NPI Number: 1811321052
Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children

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CLIA Record

Field Name	Field Value
CLIA Number	01D2169157
LAB Type	School/Student Health Service
Facility Name	BRIGHTER PATH MONTGOMERY TRUECORE BEHAVIORAL HEALTH
Street	135 MILDRED STREET
City	MONTGOMERY
State	AL
ZIP	36104
Phone	334 647-1780
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	7/16/2025
Certificate Expiration Date	7/15/2027
Facility Type	School/Student Health Service
Lab Director	DR. OLUYINKA S. ADEDIJI

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