44D0315984 CLIA NUMBER - COUNTRYSIDE TN REHAB LLC

Laboratory Demographics

  • CLIA Code: 44D0315984
  • Facility Name: COUNTRYSIDE TN REHAB LLC
  • Facility Address: 3051 BUFFALO RD
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 615 762-7518
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN DEHAN
  • NPI Number: 1013492743
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0315984
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COUNTRYSIDE TN REHAB LLC
Street 3051 BUFFALO RD
City LAWRENCEBURG
State TN
ZIP 38464
Phone 615 762-7518
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 LAUREN DEHAN

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