44D2208633 CLIA NUMBER - NORTHSHORE HEIGHTS

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Laboratory Demographics

CLIA Number: 44D2208633

Facility Name: NORTHSHORE HEIGHTS

Facility Address:
8804 S NORTHSHORE DRIVE
KNOXVILLE, TN
ZIP 37922
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Facility Phone Number: 865 444-1294

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1851833073

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2208633
LAB Type	Assisted Living Facility
Facility Name	NORTHSHORE HEIGHTS
Street	8804 S NORTHSHORE DRIVE
City	KNOXVILLE
State	TN
ZIP	37922
Phone	865 444-1294
CertificateType	4
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024