44D0859807 CLIA NUMBER - JELLICO TN OPCO LLC DBA BEECH TREE POST-ACUTE AND REHAB CENTER

Laboratory Demographics

  • CLIA Code: 44D0859807
  • Facility Name: JELLICO TN OPCO LLC DBA BEECH TREE POST-ACUTE AND REHAB CENTER
  • Facility Address: 240 HOSPITAL LANE
    JELLICO, TN
    ZIP 37762
  • Facility Phone: 423 784-6626
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NOVELLA BROOKS
  • NPI Number: 1770049504
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0859807
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JELLICO TN OPCO LLC DBA BEECH TREE POST-ACUTE AND REHAB CENTER
Street 240 HOSPITAL LANE
City JELLICO
State TN
ZIP 37762
Phone 423 784-6626
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 NOVELLA BROOKS

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