44D1091479 CLIA NUMBER - SEASONS OF FARRAGUT, LLC

Laboratory Demographics

CLIA Number: 44D1091479

Facility Name: SEASONS OF FARRAGUT, LLC

Facility Address:
1324 DOWELL SPRINGS BLVD
KNOXVILLE, TN
ZIP 37909
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Facility Phone Number: 865 675-9355

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1013166024

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	44D1091479
LAB Type	Practitioner Other
Facility Name	SEASONS OF FARRAGUT, LLC
Street	1324 DOWELL SPRINGS BLVD
City	KNOXVILLE
State	TN
ZIP	37909
Phone	865 675-9355
CertificateType	4
CertificateEffectiveDate	11/3/2022
CertificateExpirationDate	11/2/2024
FacilityType	Waiver

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