44D2229393 CLIA NUMBER - TENNESSEE VALLEY RECOVERY

Laboratory Demographics

CLIA Number: 44D2229393

Facility Name: TENNESSEE VALLEY RECOVERY

Facility Address:
2723 ASBURY ROAD, SUITE 103
KNOXVILLE, TN
ZIP 37914
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Facility Phone Number: 908 812-5176

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1023688157

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2229393
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	TENNESSEE VALLEY RECOVERY
Street	2723 ASBURY ROAD, SUITE 103
City	KNOXVILLE
State	TN
ZIP	37914
Phone	908 812-5176
CertificateType	4
CertificateEffectiveDate	7/12/2023
CertificateExpirationDate	7/11/2025
FacilityType	Waiver

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