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44D0969035 CLIA NUMBER - BLEDSOE COUNTY EMS

Laboratory Demographics

CLIA Number: 44D0969035

Facility Name: BLEDSOE COUNTY EMS

Facility Address:
1187 ALVIN YORK HIGHWAY
PIKEVILLE, TN
ZIP 37367
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Facility Phone Number: 423 447-7050

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1588747984

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 44D0969035
LAB Type Mobile Laboratory
Facility Name BLEDSOE COUNTY EMS
Street 1187 ALVIN YORK HIGHWAY
City PIKEVILLE
State TN
ZIP 37367
Phone 423 447-7050
CertificateType 4
CertificateEffectiveDate 1/4/2024
CertificateExpirationDate 1/3/2026
FacilityType Waiver

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