44D2031132 CLIA NUMBER - PANACEA PSYCHIATRIC CENTER

Home > CLIA Lookup > 44D2031132

Laboratory Demographics

CLIA Number: 44D2031132

Facility Name: PANACEA PSYCHIATRIC CENTER

Facility Address:
4221 CENTRAL PIKE
HERMITAGE, TN
ZIP 37076
Get Directions

Facility Phone Number: 615 884-5669

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831360866

Taxonomy: 2084P0805X - Psychiatry & Neurology
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.

CLIA Record

Field Name	Field Value
CLIA Number	44D2031132
LAB Type	Physician Office
Facility Name	PANACEA PSYCHIATRIC CENTER
Street	4221 CENTRAL PIKE
City	HERMITAGE
State	TN
ZIP	37076
Phone	615 884-5669
CertificateType	4
CertificateEffectiveDate	10/13/2023
CertificateExpirationDate	10/12/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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