01D2300506 CLIA NUMBER - SUNLIFE WELLNESS & HYDRATION, LLC

Laboratory Demographics

  • CLIA Code: 01D2300506
  • Facility Name: SUNLIFE WELLNESS & HYDRATION, LLC
  • Facility Address: 11 N WATER STREET, FLOOR 10
    MOBILE, AL
    ZIP 36602
  • Facility Phone: 251 402-1388
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURIE A. HAAGENSEN
  • NPI Number: 1164204426
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 01D2300506
LAB Type Practitioner Other
Facility Name SUNLIFE WELLNESS & HYDRATION, LLC
Street 11 N WATER STREET, FLOOR 10
City MOBILE
State AL
ZIP 36602
Phone 251 402-1388
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Practitioner Other
Lab Director LAURIE A. HAAGENSEN

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