01D0299995 CLIA NUMBER - DIVERSICARE OF BESSEMER

Laboratory Demographics

  • CLIA Code: 01D0299995
  • Facility Name: DIVERSICARE OF BESSEMER
  • Facility Address: 820 GOLF COURSE ROAD
    BESSEMER, AL
    ZIP 35023
  • Facility Phone: 205 425-5241
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RANDOLPH PICKELL
  • NPI Number: 1538614755
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0299995
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVERSICARE OF BESSEMER
Street 820 GOLF COURSE ROAD
City BESSEMER
State AL
ZIP 35023
Phone 205 425-5241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RANDOLPH PICKELL

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This page was last updated on: 6/4/2025