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01D0683912 CLIA NUMBER - GENERATIONS OF VERNON

Laboratory Demographics

CLIA Number: 01D0683912

Facility Name: GENERATIONS OF VERNON

Facility Address:
1050 CONVALESCENT ROAD
VERNON, AL
ZIP 35592
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Facility Phone Number: 205 695-9313

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1184131690

Taxonomy: 363LG0600X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 01D0683912
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GENERATIONS OF VERNON
Street 1050 CONVALESCENT ROAD
City VERNON
State AL
ZIP 35592
Phone 205 695-9313
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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