01D2326491 CLIA NUMBER - GROUND UP BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 01D2326491
  • Facility Name: GROUND UP BEHAVIORAL HEALTH
  • Facility Address: 1331 OLD OAK PL
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 746-5586
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BYUNG S. KWAK
  • NPI Number: 1902695661
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 01D2326491
LAB Type Physician Office
Facility Name GROUND UP BEHAVIORAL HEALTH
Street 1331 OLD OAK PL
City MONTGOMERY
State AL
ZIP 36117
Phone 334 746-5586
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director BYUNG S. KWAK

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