01D0306171 CLIA NUMBER - CAMDEN NURSING FACILITY

Laboratory Demographics

CLIA Number: 01D0306171

Facility Name: CAMDEN NURSING FACILITY

Facility Address:
PONDEROSA DRIVE
CAMDEN, AL
ZIP 36726
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Facility Phone Number: 334 682-4231

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1356441257

Taxonomy: 251J00000X - Nursing Care
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

CLIA Record

Field Name	Field Value
CLIA Number	01D0306171
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	CAMDEN NURSING FACILITY
Street	PONDEROSA DRIVE
City	CAMDEN
State	AL
ZIP	36726
Phone	334 682-4231
CertificateType	4
CertificateEffectiveDate	7/22/2023
CertificateExpirationDate	7/21/2025
FacilityType	Waiver

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