01D0907967 CLIA NUMBER - NORTHSIDE HEALTH CARE NORTHSIDE SNF OPERATIONS LLC

Laboratory Demographics

  • CLIA Code: 01D0907967
  • Facility Name: NORTHSIDE HEALTH CARE NORTHSIDE SNF OPERATIONS LLC
  • Facility Address: 700 HUTCHINS AVENUE
    GADSDEN, AL
    ZIP 35901
  • Facility Phone: 205 543-7101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ENRICO GASPAR
  • NPI Number: 1104524545
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 01D0907967
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHSIDE HEALTH CARE NORTHSIDE SNF OPERATIONS LLC
Street 700 HUTCHINS AVENUE
City GADSDEN
State AL
ZIP 35901
Phone 205 543-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. ENRICO GASPAR

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This page was last updated on: 9/29/2025