44D1066355 CLIA NUMBER - BUFFALO VALLEY, INC

Laboratory Demographics

  • CLIA Code: 44D1066355
  • Facility Name: BUFFALO VALLEY, INC
  • Facility Address: 501 PARK AVE SOUTH
    HOHENWALD, TN
    ZIP 38462
  • Facility Phone: 931 796-5427
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: JERRY T. RISNER
  • NPI Number: 1710074083
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D1066355
LAB Type Comp. Outpatient Rehab Facility
Facility Name BUFFALO VALLEY, INC
Street 501 PARK AVE SOUTH
City HOHENWALD
State TN
ZIP 38462
Phone 931 796-5427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director JERRY T. RISNER

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