44D1029216 CLIA NUMBER - LP ELIZABETHTON LLC DBA SIGNATURE HEALTHCARE OF ELIZABETHTON

Laboratory Demographics

  • CLIA Code: 44D1029216
  • Facility Name: LP ELIZABETHTON LLC DBA SIGNATURE HEALTHCARE OF ELIZABETHTON
  • Facility Address: 1200 SPRUCE LANE ATTN SHON BLEVINS
    ELIZABETHTON, TN
    ZIP 37643
  • Facility Phone: (423) 543-3202
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE STREET
  • NPI Number: 1255521555
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D1029216
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LP ELIZABETHTON LLC DBA SIGNATURE HEALTHCARE OF ELIZABETHTON
Street 1200 SPRUCE LANE ATTN SHON BLEVINS
City ELIZABETHTON
State TN
ZIP 37643
Phone 4235433202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DEBBIE STREET

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This page was last updated on: 5/18/2026