44D0309509 CLIA NUMBER - DAC OF ETOWAH, LLC DBA ETOWAH HEALTH AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 44D0309509
  • Facility Name: DAC OF ETOWAH, LLC DBA ETOWAH HEALTH AND REHABILITATION
  • Facility Address: 409 GRADY ROAD
    ETOWAH, TN
    ZIP 37331
  • Facility Phone: 423 263-1138
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JONATHAN S. HICKS
  • NPI Number: 1538269865
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0309509
LAB Type Other
Facility Name DAC OF ETOWAH, LLC DBA ETOWAH HEALTH AND REHABILITATION
Street 409 GRADY ROAD
City ETOWAH
State TN
ZIP 37331
Phone 423 263-1138
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 Other
Lab Director JONATHAN S. HICKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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