44D1038297 CLIA NUMBER - ASERACARE HOSPICE-TENNESSEE LLC D/B/A ASERACARE HOSPICE

Laboratory Demographics

CLIA Number: 44D1038297

Facility Name: ASERACARE HOSPICE-TENNESSEE LLC D/B/A ASERACARE HOSPICE

Facility Address:
1386 UNION UNIVERSTIY DRIVE STE E
JACKSON, TN
ZIP 38305
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Facility Phone Number: 731 660-4283

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1750329181

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	44D1038297
LAB Type	Hospice
Facility Name	ASERACARE HOSPICE-TENNESSEE LLC D/B/A ASERACARE HOSPICE
Street	1386 UNION UNIVERSTIY DRIVE STE E
City	JACKSON
State	TN
ZIP	38305
Phone	731 660-4283
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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