10D0900335 CLIA NUMBER - FI-EVERGREEN WOODS LLC DBA EVERGREEN WOODS

Laboratory Demographics

  • CLIA Code: 10D0900335
  • Facility Name: FI-EVERGREEN WOODS LLC DBA EVERGREEN WOODS
  • Facility Address: 7045 EVERGREEN WOODS TRAIL
    SPRING HILL, FL
    ZIP 34608
  • Facility Phone: (352) 596-8371
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD J. IBRAHIM
  • NPI Number: 1487658043
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0900335
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FI-EVERGREEN WOODS LLC DBA EVERGREEN WOODS
Street 7045 EVERGREEN WOODS TRAIL
City SPRING HILL
State FL
ZIP 34608
Phone 3525968371
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MOHAMMAD J. IBRAHIM

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This page was last updated on: 5/18/2026