44D0309409 CLIA NUMBER - LP CLEVELAND LLC D/B/A SIGNATURE HEALTHCARE OF CLEVELAND

Laboratory Demographics

  • CLIA Code: 44D0309409
  • Facility Name: LP CLEVELAND LLC D/B/A SIGNATURE HEALTHCARE OF CLEVELAND
  • Facility Address: 2750 EXECUTIVE PARK
    CLEVELAND, TN
    ZIP 37312
  • Facility Phone: 423 476-4444
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CANDACE WILLIS
  • NPI Number: 1508057456
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0309409
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP CLEVELAND LLC D/B/A SIGNATURE HEALTHCARE OF CLEVELAND
Street 2750 EXECUTIVE PARK
City CLEVELAND
State TN
ZIP 37312
Phone 423 476-4444
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 CANDACE WILLIS

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