44D2148636 CLIA NUMBER - WIREGRASS HOSPICE, LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 44D2148636
  • Facility Name: WIREGRASS HOSPICE, LLC DBA GENTIVA
  • Facility Address: 750 E SPRING ST, SUITE B-1
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 528-5133
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1720081409
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 44D2148636
LAB Type Hospice
Facility Name WIREGRASS HOSPICE, LLC DBA GENTIVA
Street 750 E SPRING ST, SUITE B-1
City COOKEVILLE
State TN
ZIP 38501
Phone 931 528-5133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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