01D2290035 CLIA NUMBER - INTEGRATED BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 01D2290035
  • Facility Name: INTEGRATED BEHAVIORAL HEALTH
  • Facility Address: 7101 US HWY 90, SUITE 103
    DAPHNE, AL
    ZIP 36526
  • Facility Phone: 256 975-4291
  • Facility Type: Other - OUTPATIENT CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. SANJAY MALHOTRA
  • NPI Number: 1982599536
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2290035
LAB Type Other - OUTPATIENT CLINIC
Facility Name INTEGRATED BEHAVIORAL HEALTH
Street 7101 US HWY 90, SUITE 103
City DAPHNE
State AL
ZIP 36526
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 9/19/2025
Certificate Expiration Date 9/18/2027
Facility Type Other - OUTPATIENT CLINIC
Lab Director DR. SANJAY MALHOTRA

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