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01D2198030 CLIA NUMBER - DBA WOODLAND HAUS WOODLAND ALF OPERATIONS

Laboratory Demographics

CLIA Number: 01D2198030

Facility Name: DBA WOODLAND HAUS WOODLAND ALF OPERATIONS

Facility Address:
1900 OLIVE STREET SW
CULLMAN, AL
ZIP 35055
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Facility Phone Number: 256 739-2988

Facility Type: Other - SPECIALITY CARE ASSISTED

Certificate Type: Waiver
NPI Number: 1457664674

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 01D2198030
LAB Type Other - SPECIALITY CARE ASSISTED
Facility Name DBA WOODLAND HAUS WOODLAND ALF OPERATIONS
Street 1900 OLIVE STREET SW
City CULLMAN
State AL
ZIP 35055
Phone 256 739-2988
CertificateType 4
CertificateEffectiveDate 10/29/2022
CertificateExpirationDate 10/28/2024
FacilityType Waiver

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