01D1014606 CLIA NUMBER - ELMCROFT OF BYRD SPRINGS EC OPCO BYRD SPRINGS, LLC

Laboratory Demographics

CLIA Number: 01D1014606

Facility Name: ELMCROFT OF BYRD SPRINGS EC OPCO BYRD SPRINGS, LLC

Facility Address:
8020 BENAROYA LANE SW
HUNTSVILLE, AL
ZIP 35802
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Facility Phone Number: 256 882-2727

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1790061414

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 01D1014606
LAB Type Assisted Living Facility
Facility Name ELMCROFT OF BYRD SPRINGS EC OPCO BYRD SPRINGS, LLC
Street 8020 BENAROYA LANE SW
City HUNTSVILLE
State AL
ZIP 35802
Phone 256 882-2727
CertificateType 4
CertificateEffectiveDate 7/10/2023
CertificateExpirationDate 7/9/2025
FacilityType Waiver

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