CLIA lab
CLIA 01D1105169: Wills Creek Village Assisted Living
Fort Payne, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D1105169 belongs to Wills Creek Village Assisted Living in Fort Payne, AL.
Certificate of Waiver, effective September 17, 2025, expires September 16, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2009
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D1105169
- Lab name
- Wills Creek Village Assisted Living
- Address
- 1050 Airport Road W, Fort Payne, AL 35968
- Phone
- (256) 845-3002
- Fax
- (256) 845-6070
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Payne, AL
- Adph DBA Dekalb County Home HealthCertificate of Waiver, Home health agency01D1100059
- Clinical Urology Associates PCCertificate of Waiver, Physician office01D0684058
- Cole Surgical ArtsCertificate of Waiver, Physician office01D2170573
- Crowne Health Care of Fort PayneCertificate of Waiver, Skilled nursing or nursing facility01D0678849
- DBA Dekalb General Surgery and BariatricsCertificate of Waiver, Physician office01D0865501
- DBA Encore Medical SpaCertificate of Waiver, Physician office01D2161754
- Dale R Stierwalt MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D0303678
- Dekalb County Detention CenterCertificate of Waiver, Other01D2275484
- Dekalb Family MedicineCertificate of Waiver, Physician office01D2047519
- Dekalb MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D2114894
Related
Questions
What is the CLIA number for Wills Creek Village Assisted Living in Fort Payne?
01D1105169, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wills Creek Village Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D1105169 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.