44D2196410 CLIA NUMBER - REGENCY RETIREMENT VILLAGE

Laboratory Demographics

  • CLIA Code: 44D2196410
  • Facility Name: REGENCY RETIREMENT VILLAGE
  • Facility Address: 420 CHEYENNE DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 661-9888
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CAROL C. WRIGHT
  • NPI Number: 1073814893
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D2196410
LAB Type Assisted Living Facility
Facility Name REGENCY RETIREMENT VILLAGE
Street 420 CHEYENNE DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 661-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Assisted Living Facility
Lab Director CAROL C. WRIGHT

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This page was last updated on: 6/4/2025