44D2248924 CLIA NUMBER - CAMELOT CARE CENTERS, LLC DBA CLARVIDA

Laboratory Demographics

  • CLIA Code: 44D2248924
  • Facility Name: CAMELOT CARE CENTERS, LLC DBA CLARVIDA
  • Facility Address: 15 OLD STAGE RD, STE A
    GREENEVILLE, TN
    ZIP 37745
  • Facility Phone: 423 392-2975
  • Facility Type: Other - MENTAL BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: PAM NIEDERGESES
  • NPI Number: 1700086725
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 44D2248924
LAB Type Other - MENTAL BEHAVIORAL HEALTH
Facility Name CAMELOT CARE CENTERS, LLC DBA CLARVIDA
Street 15 OLD STAGE RD, STE A
City GREENEVILLE
State TN
ZIP 37745
Phone 423 392-2975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Other - MENTAL BEHAVIORAL HEALTH
Lab Director PAM NIEDERGESES

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