05D0892128 CLIA NUMBER - EVERGREEN AT SALINAS LLC DBA KATHERINE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D0892128
  • Facility Name: EVERGREEN AT SALINAS LLC DBA KATHERINE HEALTHCARE
  • Facility Address: 315 ALAMEDA AVENUE
    SALINAS, CA
    ZIP 93901
  • Facility Phone: 831 424-1878
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUSTINE V. NGHIEM MD
  • NPI Number: 1811945652
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0892128
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREEN AT SALINAS LLC DBA KATHERINE HEALTHCARE
Street 315 ALAMEDA AVENUE
City SALINAS
State CA
ZIP 93901
Phone 831 424-1878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JUSTINE V. NGHIEM MD

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