01D0674028 CLIA NUMBER - DIVERSICARE OF OXFORD

Laboratory Demographics

  • Code: 01D0674028
  • Facility Name: DIVERSICARE OF OXFORD
  • Facility Address: 1130 SOUTH HALE STREET
    OXFORD, AL
    ZIP 36203
  • Facility Phone: 256 831-0481
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • NPI Number: 1306391495
  • Taxonomy: 314000000X - Skilled Nursing Facility
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CLIA Record

Field Name Field Value
CLIA Number 01D0674028
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVERSICARE OF OXFORD
Street 1130 SOUTH HALE STREET
City OXFORD
State AL
ZIP 36203
Phone 256 831-0481
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