44D0659213 CLIA NUMBER - SUNBRIDGE REGENCY-TENNESSEE LLC DBA WILLOW RIDGE CENTER

Laboratory Demographics

  • CLIA Code: 44D0659213
  • Facility Name: SUNBRIDGE REGENCY-TENNESSEE LLC DBA WILLOW RIDGE CENTER
  • Facility Address: 215 RICHARDSON WAY
    MAYNARDVILLE, TN
    ZIP 37807
  • Facility Phone: 423 992-5816
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY MERKLE
  • NPI Number: 1871540385
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0659213
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNBRIDGE REGENCY-TENNESSEE LLC DBA WILLOW RIDGE CENTER
Street 215 RICHARDSON WAY
City MAYNARDVILLE
State TN
ZIP 37807
Phone 423 992-5816
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 MARY MERKLE

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