44D0885668 CLIA NUMBER - LP MOUNTAIN CITY LLC D/B/A MOUNTAIN CITY CARE & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 44D0885668
  • Facility Name: LP MOUNTAIN CITY LLC D/B/A MOUNTAIN CITY CARE & REHABILITATION CENTER
  • Facility Address: 919 MEDICAL PARK DRIVE
    MOUNTAIN CITY, TN
    ZIP 37683
  • Facility Phone: 423 727-7800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERIE OSBORNE
  • NPI Number: 1235320524
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0885668
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP MOUNTAIN CITY LLC D/B/A MOUNTAIN CITY CARE & REHABILITATION CENTER
Street 919 MEDICAL PARK DRIVE
City MOUNTAIN CITY
State TN
ZIP 37683
Phone 423 727-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHERIE OSBORNE

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