14D0434378 CLIA NUMBER - EVERCARE OF LEBANON

Laboratory Demographics

  • CLIA Code: 14D0434378
  • Facility Name: EVERCARE OF LEBANON
  • Facility Address: 1201 N ALTON
    LEBANON, IL
    ZIP 62254
  • Facility Phone: 618 317-2310
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ASAD L. ZAMAN
  • NPI Number: 1679550644
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D0434378
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERCARE OF LEBANON
Street 1201 N ALTON
City LEBANON
State IL
ZIP 62254
Phone 618 317-2310
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 ASAD L. ZAMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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