01D2196598 CLIA NUMBER - RAINBOW OMEGA, INC

Laboratory Demographics

CLIA Code: 01D2196598
Facility Name: RAINBOW OMEGA, INC
Facility Address: 100 HOPE DRIVE
EASTABOGA, AL
ZIP 36260
Facility Phone: 256 831-0919
Facility Type: Intermediate Care Facility for Mentally Retarded
Facility Type: Waiver
Lab Director: M STENTSON CARPENTER
NPI Number: 1851460992
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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CLIA Record

Field Name	Field Value
CLIA Number	01D2196598
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RAINBOW OMEGA, INC
Street	100 HOPE DRIVE
City	EASTABOGA
State	AL
ZIP	36260
Phone	256 831-0919
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	10/19/2024
Certificate Expiration Date	10/18/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	M STENTSON CARPENTER

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