01D2201414 CLIA NUMBER - INTEGRATED BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 01D2201414
  • Facility Name: INTEGRATED BEHAVIORAL HEALTH
  • Facility Address: 1040 LONGFIELD COURT
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 256 975-4291
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: SANJAY MALHOTRA
  • NPI Number: 1902822471
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2201414
LAB Type Other - OUTPATIENT CLINIC
Facility Name INTEGRATED BEHAVIORAL HEALTH
Street 1040 LONGFIELD COURT
City MONTGOMERY
State AL
ZIP 36117
Phone 256 975-4291
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Other - OUTPATIENT CLINIC
Lab Director SANJAY MALHOTRA

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