44D0961719 CLIA NUMBER - DOGWOOD BEND ASSISTED LIVING FACILITY

Laboratory Demographics

  • CLIA Code: 44D0961719
  • Facility Name: DOGWOOD BEND ASSISTED LIVING FACILITY
  • Facility Address: 160 HILLCREST DRIVE
    CLARKSVILLE, TN
    ZIP 37043
  • Facility Phone: 931 905-1848
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: HEATHER FONVILLE
  • NPI Number: 1215970942
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0961719
LAB Type Practitioner Other
Facility Name DOGWOOD BEND ASSISTED LIVING FACILITY
Street 160 HILLCREST DRIVE
City CLARKSVILLE
State TN
ZIP 37043
Phone 931 905-1848
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Practitioner Other
Lab Director HEATHER FONVILLE

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