44D0306623 CLIA NUMBER - CENTERVILLE MEDICAL INVESTORS, LLC DBA LIFE CARE CENTER OF CENTERVILLE

Laboratory Demographics

  • CLIA Code: 44D0306623
  • Facility Name: CENTERVILLE MEDICAL INVESTORS, LLC DBA LIFE CARE CENTER OF CENTERVILLE
  • Facility Address: 112 OLD DICKSON RD
    CENTERVILLE, TN
    ZIP 37033
  • Facility Phone: 931 729-4236
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. ZACHARY HUTCHENS
  • NPI Number: 1174881965
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D0306623
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTERVILLE MEDICAL INVESTORS, LLC DBA LIFE CARE CENTER OF CENTERVILLE
Street 112 OLD DICKSON RD
City CENTERVILLE
State TN
ZIP 37033
Phone 931 729-4236
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 DR. ZACHARY HUTCHENS

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