44D2314661 CLIA NUMBER - HENDERSONVILLE TN SENIOR LIVING LEASE CO, LLC

Laboratory Demographics

  • CLIA Code: 44D2314661
  • Facility Name: HENDERSONVILLE TN SENIOR LIVING LEASE CO, LLC
  • Facility Address: 195 INDIAN LAKE BLVD
    HENDERSONVILLE, TN
    ZIP 37075
  • Facility Phone: 615 826-9223
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MITCH METZGER
  • NPI Number: 1972590388
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 44D2314661
LAB Type Assisted Living Facility
Facility Name HENDERSONVILLE TN SENIOR LIVING LEASE CO, LLC
Street 195 INDIAN LAKE BLVD
City HENDERSONVILLE
State TN
ZIP 37075
Phone 615 826-9223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Assisted Living Facility
Lab Director MITCH METZGER

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