01D2245025 CLIA NUMBER - OMEGA MOBILE WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 01D2245025
  • Facility Name: OMEGA MOBILE WELLNESS LLC
  • Facility Address: 578 PINECREST VILLAGE
    ALICEVILLE, AL
    ZIP 35442
  • Facility Phone: 205 499-8406
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MS. LESLIE MAXWELL
  • NPI Number: 1659039410
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 01D2245025
LAB Type Mobile Laboratory
Facility Name OMEGA MOBILE WELLNESS LLC
Street 578 PINECREST VILLAGE
City ALICEVILLE
State AL
ZIP 35442
Phone 205 499-8406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Mobile Laboratory
Lab Director MS. LESLIE MAXWELL

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