44D0705704 CLIA NUMBER - CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 44D0705704

Facility Name: CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER

Facility Address:
880 RUTLEDGE PIKE
BLAINE, TN
ZIP 37709
Get Directions

Facility Phone Number: 865 933-4110

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1336386440

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0705704
LAB Type	Federally Qualified Health Center
Facility Name	CHEROKEE HEALTH SYSTEMS DBA BLAINE MEDICAL CENTER
Street	880 RUTLEDGE PIKE
City	BLAINE
State	TN
ZIP	37709
Phone	865 933-4110
CertificateType	3
CertificateEffectiveDate	4/6/2024
CertificateExpirationDate	4/5/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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