44D0716533 CLIA NUMBER - WHITES CREEK OPERATING GROUP DBA WHITES CREEK WELLNESS AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 44D0716533
  • Facility Name: WHITES CREEK OPERATING GROUP DBA WHITES CREEK WELLNESS AND REHABILITATION
  • Facility Address: 3425 KNIGHT DRIVE
    WHITES CREEK, TN
    ZIP 37189
  • Facility Phone: 615 876-2754
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KOWUANDA EDDINGS
  • NPI Number: 1114580248
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0716533
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITES CREEK OPERATING GROUP DBA WHITES CREEK WELLNESS AND REHABILITATION
Street 3425 KNIGHT DRIVE
City WHITES CREEK
State TN
ZIP 37189
Phone 615 876-2754
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 KOWUANDA EDDINGS

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