01D0678849 CLIA NUMBER - CROWNE HEALTH CARE OF FORT PAYNE

Laboratory Demographics

  • CLIA Code: 01D0678849
  • Facility Name: CROWNE HEALTH CARE OF FORT PAYNE
  • Facility Address: CROWNE HEALTH CARE OF FORT PAYNE 403 13TH ST NW
    FORT PAYNE, AL
    ZIP 35967
  • Facility Phone: 256 845-5990
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY DECKER
  • NPI Number: 1508825076
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0678849
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROWNE HEALTH CARE OF FORT PAYNE
Street CROWNE HEALTH CARE OF FORT PAYNE 403 13TH ST NW
City FORT PAYNE
State AL
ZIP 35967
Phone 256 845-5990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TIMOTHY DECKER

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This page was last updated on: 6/4/2025