44D0310951 CLIA NUMBER - FOUR OAKS OPERATING GROUP LLC FOUR OAKS HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 44D0310951
  • Facility Name: FOUR OAKS OPERATING GROUP LLC FOUR OAKS HEALTH CARE CENTER
  • Facility Address: 1101 PERSIMMON RIDGE ROAD
    JONESBOROUGH, TN
    ZIP 37659
  • Facility Phone: 423 753-8711
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PAULA POTTER
  • NPI Number: 1881129468
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0310951
LAB Type Other
Facility Name FOUR OAKS OPERATING GROUP LLC FOUR OAKS HEALTH CARE CENTER
Street 1101 PERSIMMON RIDGE ROAD
City JONESBOROUGH
State TN
ZIP 37659
Phone 423 753-8711
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 PAULA POTTER

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