44D2106824 CLIA NUMBER - SNH TENN TENANT LLC DBA CHARTER SENIOR LIVING OF JACKSON

Laboratory Demographics

  • CLIA Code: 44D2106824
  • Facility Name: SNH TENN TENANT LLC DBA CHARTER SENIOR LIVING OF JACKSON
  • Facility Address: 1200 N PARKWAY
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 423-1004
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DENIECE CALDWELL
  • NPI Number: 1790333599
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2106824
LAB Type Assisted Living Facility
Facility Name SNH TENN TENANT LLC DBA CHARTER SENIOR LIVING OF JACKSON
Street 1200 N PARKWAY
City JACKSON
State TN
ZIP 38305
Phone 731 423-1004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Assisted Living Facility
Lab Director DENIECE CALDWELL

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