44D1020772 CLIA NUMBER - CARIS HEALTHCARE LP

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Laboratory Demographics

CLIA Number: 44D1020772

Facility Name: CARIS HEALTHCARE LP

Facility Address:
1412 TROTWOOD AVE, SUITE 11
COLUMBIA, TN
ZIP 38401
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Facility Phone Number: 931 388-1617

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1144556242

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	44D1020772
LAB Type	Hospice
Facility Name	CARIS HEALTHCARE LP
Street	1412 TROTWOOD AVE, SUITE 11
City	COLUMBIA
State	TN
ZIP	38401
Phone	931 388-1617
CertificateType	4
CertificateEffectiveDate	1/2/2024
CertificateExpirationDate	1/1/2026
FacilityType	Waiver

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