01D0301657 CLIA NUMBER - DIVERSICARE OF RIVERCHASE

Laboratory Demographics

  • Code: 01D0301657
  • Facility Name: DIVERSICARE OF RIVERCHASE
  • Facility Address: 2500 RIVER HAVEN DR
    BIRMINGHAM, AL
    ZIP 35244
  • Facility Phone: 205 987-0901
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • NPI Number: 1013463405
  • Taxonomy: 314000000X - Skilled Nursing Facility
Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0301657
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVERSICARE OF RIVERCHASE
Street 2500 RIVER HAVEN DR
City BIRMINGHAM
State AL
ZIP 35244
Phone 205 987-0901
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 4/23/2024