44D2103096 CLIA NUMBER - LIFE CARE CENTER OF BLOUNT COUNTY

Laboratory Demographics

  • CLIA Code: 44D2103096
  • Facility Name: LIFE CARE CENTER OF BLOUNT COUNTY
  • Facility Address: 1965 STEWART LANE
    LOUISVILLE, TN
    ZIP 37777
  • Facility Phone: 865 984-3146
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUAN P. MIRANDA
  • NPI Number: 1225405475
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2103096
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF BLOUNT COUNTY
Street 1965 STEWART LANE
City LOUISVILLE
State TN
ZIP 37777
Phone 865 984-3146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JUAN P. MIRANDA

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