44D0659098 CLIA NUMBER - ERLANGER HEALTH DBA ERLANGER BLEDSOE HOSPITAL LABORATORY

Laboratory Demographics

CLIA Number: 44D0659098

Facility Name: ERLANGER HEALTH DBA ERLANGER BLEDSOE HOSPITAL LABORATORY

Facility Address:
71 WHEELERTOWN AVENUE ATTN IZETTA JOHNSON
PIKEVILLE, TN
ZIP 37367
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Facility Phone Number: 423 447-5318

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1073622007

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	44D0659098
LAB Type	Hospital
Facility Name	ERLANGER HEALTH DBA ERLANGER BLEDSOE HOSPITAL LABORATORY
Street	71 WHEELERTOWN AVENUE ATTN IZETTA JOHNSON
City	PIKEVILLE
State	TN
ZIP	37367
Phone	423 447-5318
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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