49D0703936 CLIA NUMBER - EVERGREEN HEALTH & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 49D0703936
  • Facility Name: EVERGREEN HEALTH & REHAB CENTER
  • Facility Address: 380 MILLWOOD AVE
    WINCHESTER, VA
    ZIP 22601
  • Facility Phone: 540 667-7010
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LOUBNA SCALLY
  • NPI Number: 1487221107
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0703936
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EVERGREEN HEALTH & REHAB CENTER
Street 380 MILLWOOD AVE
City WINCHESTER
State VA
ZIP 22601
Phone 540 667-7010
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 LOUBNA SCALLY

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