01D2200373 CLIA NUMBER - SOUTHERN WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 01D2200373
  • Facility Name: SOUTHERN WELLNESS, LLC
  • Facility Address: 321 1ST ST NORTH
    ALABASTER, AL
    ZIP 35007
  • Facility Phone: 205 624-4325
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA HALECHKO
  • NPI Number: 1437527009
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2200373
LAB Type Physician Office
Facility Name SOUTHERN WELLNESS, LLC
Street 321 1ST ST NORTH
City ALABASTER
State AL
ZIP 35007
Phone 205 624-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director REBECCA HALECHKO

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