CLIA lab
CLIA 01D2173011: Evergreen Primary Care
Evergreen, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D2173011 belongs to Evergreen Primary Care in Evergreen, AL.
Certificate of Waiver, effective October 3, 2025, expires October 2, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2019
- Facility type
- Rural health clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D2173011
- Lab name
- Evergreen Primary Care
- Address
- 102 Edwina Street, Evergreen, AL 36401
- Phone
- (251) 578-0220
- Fax
- (251) 578-0223
Annual test volume the lab reported
- Waived tests
- 660
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Evergreen, AL
- Andalusia Health Specialty ClinicCertificate of Waiver, Rural health clinic01D2332557
- Barnes Fam Med Assoc PC/S West MDCertificate for Provider-Performed Microscopy Procedures, Physician office01D0910404
- Dci EvergreenCertificate of Waiver, End stage renal disease dialysis facility01D2016146
- Evergreen Medical CenterCertificate of Compliance, Hospital01D0305030
- Evergreen Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility01D0305029
- Hector L Salemi MDCertificate of Waiver, Physician office01D2057089
- Lifesaver 5Certificate of Waiver, Ambulatory surgery center01D2190131
- Praesidium Medical Diagnostics and ScreeningCertificate of Waiver, Mobile lab01D2330787
- Roberts ClinicCertificate of Waiver, Physician office01D0305025
Related
Questions
What is the CLIA number for Evergreen Primary Care in Evergreen?
01D2173011, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 01D2173011 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.