01D0305030 CLIA NUMBER - EVERGREEN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 01D0305030
  • Facility Name: EVERGREEN MEDICAL CENTER
  • Facility Address: 101 CRESTVIEW AVE
    EVERGREEN, AL
    ZIP 36401
  • Facility Phone: 251 578-0144
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: CHRISTOPHER S. DADISMAN
  • NPI Number: 1285693762
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0305030
LAB Type Hospital
Facility Name EVERGREEN MEDICAL CENTER
Street 101 CRESTVIEW AVE
City EVERGREEN
State AL
ZIP 36401
Phone 251 578-0144
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Hospital
Lab Director CHRISTOPHER S. DADISMAN

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: 9/29/2025