44D2293133 CLIA NUMBER - BROOKWELL HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 44D2293133
  • Facility Name: BROOKWELL HEALTH, LLC
  • Facility Address: 709 MED TECH PARKWAY, SUITE 210
    JOHNSON CITY, TN
    ZIP 37604
  • Facility Phone: 866 589-0003
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VANESSA BROWN
  • NPI Number: 1538889811
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2293133
LAB Type Practitioner Other
Facility Name BROOKWELL HEALTH, LLC
Street 709 MED TECH PARKWAY, SUITE 210
City JOHNSON CITY
State TN
ZIP 37604
Phone 866 589-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/3/2023
Certificate Expiration Date 11/2/2025
Facility Type Practitioner Other
Lab Director VANESSA BROWN

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