44D0307758 CLIA NUMBER - LP PORTLAND, LLC DBA SIGNATURE HEALTHCARE OF PORTLAND REHAB & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 44D0307758
  • Facility Name: LP PORTLAND, LLC DBA SIGNATURE HEALTHCARE OF PORTLAND REHAB & WELLNESS CENTER
  • Facility Address: 215 HIGHLAND CIRCLE DR
    PORTLAND, TN
    ZIP 37148
  • Facility Phone: 615 325-9263
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONNER MCCHURCH
  • NPI Number: 1568762854
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0307758
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP PORTLAND, LLC DBA SIGNATURE HEALTHCARE OF PORTLAND REHAB & WELLNESS CENTER
Street 215 HIGHLAND CIRCLE DR
City PORTLAND
State TN
ZIP 37148
Phone 615 325-9263
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 CONNER MCCHURCH

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