44D2066887 CLIA NUMBER - POSITIVELY LIVING INC

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Laboratory Demographics

CLIA Number: 44D2066887

Facility Name: POSITIVELY LIVING INC

Facility Address:
1925 AILOR AVE
KNOXVILLE, TN
ZIP 37921
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Facility Phone Number: 865 525-1540

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1306356506

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	44D2066887
LAB Type	Physician Office
Facility Name	POSITIVELY LIVING INC
Street	1925 AILOR AVE
City	KNOXVILLE
State	TN
ZIP	37921
Phone	865 525-1540
CertificateType	4
CertificateEffectiveDate	10/4/2023
CertificateExpirationDate	10/3/2025
FacilityType	Waiver

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