01D0305030 CLIA NUMBER - EVERGREEN MEDICAL CENTER

Laboratory Demographics

CLIA Number: 01D0305030

Facility Name: EVERGREEN MEDICAL CENTER

Facility Address:
101 CRESTVIEW AVE
EVERGREEN, AL
ZIP 36401
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Facility Phone Number: (251) 578-0144

Facility Type: HOSPITAL

Certificate Type: Certificate of Compliance

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	01D0305030
LAB Type	HOSPITAL
Facility Name	EVERGREEN MEDICAL CENTER
Street	101 CRESTVIEW AVE
City	EVERGREEN
State	AL
ZIP	36401
Phone	(251) 578-0144

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This page was last updated on: 5/11/2023