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44D2098734 CLIA NUMBER - GRAINGER COUNTY AMBULANCE AUTHORITY

Laboratory Demographics

CLIA Number: 44D2098734

Facility Name: GRAINGER COUNTY AMBULANCE AUTHORITY

Facility Address:
270 JUSTICE CENTER DR, SUITE 101
RUTLEDGE, TN
ZIP 37861
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Facility Phone Number: 865 828-3682

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1487096137

Taxonomy: 251300000X - Local Education Agency (LEA)
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

CLIA Record

Field Name Field Value
CLIA Number 44D2098734
LAB Type Ambulance
Facility Name GRAINGER COUNTY AMBULANCE AUTHORITY
Street 270 JUSTICE CENTER DR, SUITE 101
City RUTLEDGE
State TN
ZIP 37861
Phone 865 828-3682
CertificateType 4
CertificateEffectiveDate 7/14/2023
CertificateExpirationDate 7/13/2025
FacilityType Waiver

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