44D0315456 CLIA NUMBER - LAURELWOOD HEALTH CARE

Laboratory Demographics

  • CLIA Code: 44D0315456
  • Facility Name: LAURELWOOD HEALTH CARE
  • Facility Address: 200 BIRCH STREET
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 422-5641
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA OWENS
  • NPI Number: 1922177120
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0315456
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAURELWOOD HEALTH CARE
Street 200 BIRCH STREET
City JACKSON
State TN
ZIP 38301
Phone 731 422-5641
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 BRENDA OWENS

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