01D2295101 CLIA NUMBER - LIFEWORKS PSYCHIATRIC CENTER, LLC

Laboratory Demographics

  • CLIA Code: 01D2295101
  • Facility Name: LIFEWORKS PSYCHIATRIC CENTER, LLC
  • Facility Address: 3608 HIGHWAY 78E
    JASPER, AL
    ZIP 35501
  • Facility Phone: 205 265-2208
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MIRANDA S. HANDLEY
  • NPI Number: 1497510028
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2295101
LAB Type Physician Office
Facility Name LIFEWORKS PSYCHIATRIC CENTER, LLC
Street 3608 HIGHWAY 78E
City JASPER
State AL
ZIP 35501
Phone 205 265-2208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Physician Office
Lab Director MIRANDA S. HANDLEY

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