44D0970520 CLIA NUMBER - SELECT SPECIALTY HOSPITAL TRI-CITIES

Laboratory Demographics

  • CLIA Code: 44D0970520
  • Facility Name: SELECT SPECIALTY HOSPITAL TRI-CITIES
  • Facility Address: 1 MEDICAL PARK BLVD, 5TH FLOOR WEST
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 844-5900
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: EDWARD FORE
  • NPI Number: 1447394143
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 44D0970520
LAB Type Hospital
Facility Name SELECT SPECIALTY HOSPITAL TRI-CITIES
Street 1 MEDICAL PARK BLVD, 5TH FLOOR WEST
City BRISTOL
State TN
ZIP 37620
Phone 423 844-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Hospital
Lab Director EDWARD FORE

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