01D2322304 CLIA NUMBER - WEST GATE VILLAGE, LLC

Laboratory Demographics

  • CLIA Code: 01D2322304
  • Facility Name: WEST GATE VILLAGE, LLC
  • Facility Address: 100 PINEVIEW STREET
    BREWTON, AL
    ZIP 36426
  • Facility Phone: 251 867-6077
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANDREA N. LADNIER
  • NPI Number: 1144289711
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D2322304
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WEST GATE VILLAGE, LLC
Street 100 PINEVIEW STREET
City BREWTON
State AL
ZIP 36426
Phone 251 867-6077
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ANDREA N. LADNIER

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