01D0305029 CLIA NUMBER - Evergreen Nursing Home

Laboratory Demographics

CLIA Number: 01D0305029

Facility Name: Evergreen Nursing Home

Facility Address:
100 Sanders Dr,
Evergreen, AL
ZIP 36401
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Facility Phone Number: (251) 578-3783

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1285693762

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 01D0305029
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name Evergreen Nursing Home
Street 100 Sanders Dr,
City Evergreen
State AL
ZIP 36401
Phone 2515783783

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This page was last updated on: 5/19/2019