44D2031468 CLIA NUMBER - TK HEALTH BRADLEY COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 44D2031468
  • Facility Name: TK HEALTH BRADLEY COUNTY JAIL
  • Facility Address: 2290 BLYTHE AVE SE
    CLEVELAND, TN
    ZIP 37311
  • Facility Phone: 405 516-0276
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: SHAAN VILJI
  • NPI Number: 1154754349
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 44D2031468
LAB Type Prison
Facility Name TK HEALTH BRADLEY COUNTY JAIL
Street 2290 BLYTHE AVE SE
City CLEVELAND
State TN
ZIP 37311
Phone 405 516-0276
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Prison
Lab Director SHAAN VILJI

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