01D0718673 CLIA NUMBER - OAK PARK

Laboratory Demographics

CLIA Number: 01D0718673

Facility Name: OAK PARK

Facility Address:
1365 GATEWOOD DR
AUBURN, AL
ZIP 36830
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Facility Phone Number: 334 826-7200

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1982854667

Taxonomy: 3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	01D0718673
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	OAK PARK
Street	1365 GATEWOOD DR
City	AUBURN
State	AL
ZIP	36830
Phone	334 826-7200
CertificateType	4
CertificateEffectiveDate	5/28/2022
CertificateExpirationDate	5/27/2024
FacilityType	Waiver

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