44D2262524 CLIA NUMBER - PSYCHIATRIC SERVICES OF EAST TENNESSEE, LLC DBA EVOLVE

Laboratory Demographics

CLIA Number: 44D2262524

Facility Name: PSYCHIATRIC SERVICES OF EAST TENNESSEE, LLC DBA EVOLVE

Facility Address:
115 WEST MARKET STREET
SMITHVILLE, TN
ZIP 37166
Get Directions

Facility Phone Number: 865 722-2761

Facility Type: Comp. Outpatient Rehab Facility

Certificate Type: Waiver

NPI Number: 1871658757

Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLIA Record

Field Name	Field Value
CLIA Number	44D2262524
LAB Type	Comp. Outpatient Rehab Facility
Facility Name	PSYCHIATRIC SERVICES OF EAST TENNESSEE, LLC DBA EVOLVE
Street	115 WEST MARKET STREET
City	SMITHVILLE
State	TN
ZIP	37166
Phone	865 722-2761
CertificateType	4
CertificateEffectiveDate	6/15/2022
CertificateExpirationDate	6/14/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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