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44D0893711 CLIA NUMBER - HOSPICE OF CHATTANOOGA HOLDINGS LLC DBA HOSPICE OF CHATTANOOGA

Laboratory Demographics

CLIA Number: 44D0893711

Facility Name: HOSPICE OF CHATTANOOGA HOLDINGS LLC DBA HOSPICE OF CHATTANOOGA

Facility Address:
2030 HAMILTON PLACE BLVD, SUITE 220
CHATTANOOGA, TN
ZIP 37421
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Facility Phone Number: 423 892-4289

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1053313874

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 44D0893711
LAB Type Hospice
Facility Name HOSPICE OF CHATTANOOGA HOLDINGS LLC DBA HOSPICE OF CHATTANOOGA
Street 2030 HAMILTON PLACE BLVD, SUITE 220
City CHATTANOOGA
State TN
ZIP 37421
Phone 423 892-4289
CertificateType 4
CertificateEffectiveDate 10/27/2022
CertificateExpirationDate 10/26/2024
FacilityType Waiver

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