44D0964028 CLIA NUMBER - LP JOHNSON CITY, LLC DBA PRINCETON TRANSITIONAL CARE & ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 44D0964028
  • Facility Name: LP JOHNSON CITY, LLC DBA PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
  • Facility Address: 401 PRINCETON ROAD
    JOHNSON CITY, TN
    ZIP 37601
  • Facility Phone: 423 232-0700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DALE R. SLIVKA
  • NPI Number: 1043798424
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0964028
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP JOHNSON CITY, LLC DBA PRINCETON TRANSITIONAL CARE & ASSISTED LIVING
Street 401 PRINCETON ROAD
City JOHNSON CITY
State TN
ZIP 37601
Phone 423 232-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DALE R. SLIVKA

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