07D0861583 CLIA NUMBER - EVERGREEN HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 07D0861583
  • Facility Name: EVERGREEN HEALTH CARE CENTER
  • Facility Address: 205 CHESTNUT HILL RD
    STAFFORD SPRINGS, CT
    ZIP 06076
  • Facility Phone: 860 684-6341
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DUSHYANT B. PARIKH MD
  • NPI Number: 1053427609
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 07D0861583
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREEN HEALTH CARE CENTER
Street 205 CHESTNUT HILL RD
City STAFFORD SPRINGS
State CT
ZIP 06076
Phone 860 684-6341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DUSHYANT B. PARIKH MD

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