44D2202112 CLIA NUMBER - MIDDLE TENNESSEE TREATMENT CENTERS, LLC DBA HERMITAGE CTC

Laboratory Demographics

  • CLIA Code: 44D2202112
  • Facility Name: MIDDLE TENNESSEE TREATMENT CENTERS, LLC DBA HERMITAGE CTC
  • Facility Address: 589 STEWARTS FERRY PIKE
    NASHVILLE, TN
    ZIP 37214
  • Facility Phone: 401 862-0522
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ANTHONY EKWO
  • NPI Number: 1588045199
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 44D2202112
LAB Type Comp. Outpatient Rehab Facility
Facility Name MIDDLE TENNESSEE TREATMENT CENTERS, LLC DBA HERMITAGE CTC
Street 589 STEWARTS FERRY PIKE
City NASHVILLE
State TN
ZIP 37214
Phone 401 862-0522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ANTHONY EKWO

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