44D2023155 CLIA NUMBER - KNOLLWOOD MANOR

Laboratory Demographics

  • CLIA Code: 44D2023155
  • Facility Name: KNOLLWOOD MANOR
  • Facility Address: 405 TIMES AVE
    LAFAYETTE, TN
    ZIP 37083
  • Facility Phone: 615 666-3170
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LINDA R. AUSTIN
  • NPI Number: 1699872879
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2023155
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name KNOLLWOOD MANOR
Street 405 TIMES AVE
City LAFAYETTE
State TN
ZIP 37083
Phone 615 666-3170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LINDA R. AUSTIN

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