44D0311719 CLIA NUMBER - CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE

Laboratory Demographics

CLIA Number: 44D0311719

Facility Name: CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE

Facility Address:
4330 MAYNARDVILLE HWY
MAYNARDVILLE, TN
ZIP 37807
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Facility Phone Number: 865 992-3849

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1487891594

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0311719
LAB Type	Community Clinic
Facility Name	CHEROKEE HEALTH SYSTEMS DBA MAYNARDVILLE
Street	4330 MAYNARDVILLE HWY
City	MAYNARDVILLE
State	TN
ZIP	37807
Phone	865 992-3849
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024