44D2294173 CLIA NUMBER - ACUTE CARE CLINICS OF AMERICA LLC DBA ACUTE

Laboratory Demographics

CLIA Number: 44D2294173

Facility Name: ACUTE CARE CLINICS OF AMERICA LLC DBA ACUTE

Facility Address:
188 HOSPITAL LANE
JELLICO, TN
ZIP 37762
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Facility Phone Number: 931 879-5864

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780235564

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	44D2294173
LAB Type	Physician Office
Facility Name	ACUTE CARE CLINICS OF AMERICA LLC DBA ACUTE
Street	188 HOSPITAL LANE
City	JELLICO
State	TN
ZIP	37762
Phone	931 879-5864
CertificateType	4
CertificateEffectiveDate	11/20/2023
CertificateExpirationDate	11/19/2025
FacilityType	Waiver

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