44D2195506 CLIA NUMBER - PAVILION ASSISTED LIVING LLC

Laboratory Demographics

  • CLIA Code: 44D2195506
  • Facility Name: PAVILION ASSISTED LIVING LLC
  • Facility Address: 1409 MEDICAL CENTER DR
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 444-5556
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA HUFFMAN
  • NPI Number: 1518243468
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2195506
LAB Type Assisted Living Facility
Facility Name PAVILION ASSISTED LIVING LLC
Street 1409 MEDICAL CENTER DR
City LEBANON
State TN
ZIP 37087
Phone 615 444-5556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Assisted Living Facility
Lab Director BRENDA HUFFMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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