EVERGREEN TERRACE ASSISTED LIVING - LABORATORY
NPI 1235454356
Clinical Medical Laboratory in Big Rapids, MI

Active since March 31, 2010CLIA 23D1102189 · Waiver
801 FULLER AVE, BIG RAPIDS, MI 49307(231) 527-1050 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Terrace Assisted Living - Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN TERRACE ASSISTED LIVING - LABORATORY (NPI 1235454356) is a healthcare organization registered as a clinical medical laboratory in Big Rapids, Michigan and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Thomas Nobel, President, as its authorized official.

NPPES Registry Identity

NPI1235454356
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEVERGREEN TERRACE ASSISTED LIVING
Location Address801 FULLER AVEBig Rapids, MI 49307-2106
Mailing Address801 Fuller AveBig Rapids, MI 49307-2106 · (231) 527-1050
Organization SubpartNo
Authorized OfficialThomas NobelPresident · (231) 527-1050
Enumeration DateMarch 31, 2010
Last NPPES UpdateMarch 17, 2011
NPI 1235454356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in MI · 23D1102189
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
801 FULLER AVE, Big Rapids, MI 49307

Other Names 1

Doing Business AsEvergreen Terrace Assisted Living - Laboratory

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1102189

Evergreen Terrace Assisted Living · Big Rapids, MI
Active · expires Jul 13, 2027
CLIA Number23D1102189
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorLaura Whaley
Laboratory Phone(616) 285-0569
Laboratory LocationEvergreen Terrace Assisted Living801 Fuller Avenue, Big Rapids, MI 49307
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
801 FULLER AVE
BIG RAPIDS, MI 49307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Terrace Assisted Living's NPI number?

The NPI number for Evergreen Terrace Assisted Living is 1235454356. It was assigned to this organization in the NPPES registry on March 31, 2010. The provider is doing business as Evergreen Terrace Assisted Living - Laboratory.

Where is Evergreen Terrace Assisted Living located?

Evergreen Terrace Assisted Living is located at 801 Fuller Ave, Big Rapids, MI 49307. The listed phone number is (231) 527-1050.

What is Evergreen Terrace Assisted Living's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Evergreen Terrace Assisted Living hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1102189) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Terrace Assisted Living was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.