Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
44D2223221
|
|
Clinical laboratory number
|
|
Lab Name
|
RHA ALI 3
|
|
Laboratory Name
|
|
Lab Type
|
Intermediate Care Facility for Mentally Retarded
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
865-769-7491
|
|
Laboratory telephone number
|
|
Fax
|
865-474-6323
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
132 ALI LANE
|
|
Primary location adress line
|
|
City
|
JACKSBORO
|
|
Primary location city name
|
|
State
|
TN
|
|
Primary location state name
|
|
Zip
|
37757
|
|
Primary location postal code
|