44D2280608 CLIA NUMBER - CARIS HEALTHCARE

Laboratory Demographics

CLIA Number: 44D2280608

Facility Name: CARIS HEALTHCARE

Facility Address:
106 WESTSIDE DR STE B
TULLAHOMA, TN
ZIP 37388
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Facility Phone Number: 931 563-0929

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1043979933

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 44D2280608
LAB Type Hospice
Facility Name CARIS HEALTHCARE
Street 106 WESTSIDE DR STE B
City TULLAHOMA
State TN
ZIP 37388
Phone 931 563-0929
CertificateType 4
CertificateEffectiveDate 4/21/2023
CertificateExpirationDate 4/20/2025
FacilityType Waiver

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