01D0305203 CLIA NUMBER - CITRONELLE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • Code: 01D0305203
  • Facility Name: CITRONELLE HEALTH AND REHABILITATION CENTER
  • Facility Address: 108 N 4TH STREET PO DRAWER 38
    CITRONELLE, AL
    ZIP 36522
  • Facility Phone: 251 866-5509
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • NPI Number: 1437141355
  • Taxonomy: 314000000X - Skilled Nursing Facility
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CLIA Record

Field Name Field Value
CLIA Number 01D0305203
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CITRONELLE HEALTH AND REHABILITATION CENTER
Street 108 N 4TH STREET PO DRAWER 38
City CITRONELLE
State AL
ZIP 36522
Phone 251 866-5509
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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