44D0907757 CLIA NUMBER - BROOKHAVEN TN OPCO LLC DBA ORCHARD VIEW POST-ACUTE AND REHAB

Laboratory Demographics

  • CLIA Code: 44D0907757
  • Facility Name: BROOKHAVEN TN OPCO LLC DBA ORCHARD VIEW POST-ACUTE AND REHAB
  • Facility Address: 2035 STONEBROOK PLACE
    KINGSPORT, TN
    ZIP 37660
  • Facility Phone: 423 264-8934
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMANTHA HURD
  • NPI Number: 1104301837
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0907757
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKHAVEN TN OPCO LLC DBA ORCHARD VIEW POST-ACUTE AND REHAB
Street 2035 STONEBROOK PLACE
City KINGSPORT
State TN
ZIP 37660
Phone 423 264-8934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SAMANTHA HURD

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