01D2310149 CLIA NUMBER - WILLOW PEDIATRIC WELLNESS

Laboratory Demographics

  • CLIA Code: 01D2310149
  • Facility Name: WILLOW PEDIATRIC WELLNESS
  • Facility Address: 2850 CAHABA RD, STE 140
    MOUNTAIN BROOK, AL
    ZIP 35223
  • Facility Phone: 205 964-9575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAURA M. CROCKER MITCHELL
  • NPI Number: 1902645021
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2310149
LAB Type Physician Office
Facility Name WILLOW PEDIATRIC WELLNESS
Street 2850 CAHABA RD, STE 140
City MOUNTAIN BROOK
State AL
ZIP 35223
Phone 205 964-9575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director DR. LAURA M. CROCKER MITCHELL

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