44D2125819 CLIA NUMBER - LIFE CARE CENTER OF EAST RIDGE

Laboratory Demographics

  • CLIA Code: 44D2125819
  • Facility Name: LIFE CARE CENTER OF EAST RIDGE
  • Facility Address: 1502 MCDONALD ROAD
    EAST RIDGE, TN
    ZIP 37412
  • Facility Phone: 423 894-1254
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT R. HUBBARTT
  • NPI Number: 1316482458
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2125819
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF EAST RIDGE
Street 1502 MCDONALD ROAD
City EAST RIDGE
State TN
ZIP 37412
Phone 423 894-1254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROBERT R. HUBBARTT

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