08D0206894 CLIA NUMBER - EVERGREEN POST ACUTE LLC

Laboratory Demographics

  • CLIA Code: 08D0206894
  • Facility Name: EVERGREEN POST ACUTE LLC
  • Facility Address: 3034 SOUTH DUPONT BOULEVARD
    SMYRNA, DE
    ZIP 19977
  • Facility Phone: 302 653-5085
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RITU A. RASTOGI
  • NPI Number: 1124081278
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 08D0206894
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREEN POST ACUTE LLC
Street 3034 SOUTH DUPONT BOULEVARD
City SMYRNA
State DE
ZIP 19977
Phone 302 653-5085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RITU A. RASTOGI

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