33D2113840 CLIA NUMBER - EVERGREEN COMMONS REHABILITATION AND NURSING CENTER

Laboratory Demographics

  • CLIA Code: 33D2113840
  • Facility Name: EVERGREEN COMMONS REHABILITATION AND NURSING CENTER
  • Facility Address: 1070 LUTHER ROAD
    EAST GREENBUSH, NY
    ZIP 12061
  • Facility Phone: 518 479-4662
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. MARIE C. LINGAT
  • NPI Number: 1326492380
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 33D2113840
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREEN COMMONS REHABILITATION AND NURSING CENTER
Street 1070 LUTHER ROAD
City EAST GREENBUSH
State NY
ZIP 12061
Phone 518 479-4662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2016
Certificate Expiration Date 3/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. MARIE C. LINGAT

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