01D2238519 CLIA NUMBER - MW WELLNESS XVII, LLC

Laboratory Demographics

  • CLIA Code: 01D2238519
  • Facility Name: MW WELLNESS XVII, LLC
  • Facility Address: 4407 OLD SHELL RD SUITE D
    MOBILE, AL
    ZIP 36608
  • Facility Phone: 251 318-2879
  • Facility Type: Other - MEDICAL WEIGHT LOSS
  • Facility Type: Waiver
  • Lab Director: DEBRA HEBERT
  • NPI Number: 1356723563
  • Taxonomy: 207QB0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2238519
LAB Type Other - MEDICAL WEIGHT LOSS
Facility Name MW WELLNESS XVII, LLC
Street 4407 OLD SHELL RD SUITE D
City MOBILE
State AL
ZIP 36608
Phone 251 318-2879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2025
Certificate Expiration Date 10/4/2027
Facility Type Other - MEDICAL WEIGHT LOSS
Lab Director DEBRA HEBERT

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