44D0892022 CLIA NUMBER - ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE LLC DBA ELK RIVER HEALTH&REHAB OF FAYETTEVILLE

Laboratory Demographics

  • CLIA Code: 44D0892022
  • Facility Name: ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE LLC DBA ELK RIVER HEALTH&REHAB OF FAYETTEVILLE
  • Facility Address: 4081 THORNTON TAYLOR PKWY
    FAYETTEVILLE, TN
    ZIP 37334
  • Facility Phone: 615 433-9973
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAQUITA JONES
  • NPI Number: 1437721529
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 44D0892022
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ELK RIVER HEALTH & REHABILITATION OF FAYETTEVILLE LLC DBA ELK RIVER HEALTH&REHAB OF FAYETTEVILLE
Street 4081 THORNTON TAYLOR PKWY
City FAYETTEVILLE
State TN
ZIP 37334
Phone 615 433-9973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LAQUITA JONES

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