CLIA lab
CLIA 44D0972127: Henderson Residential, LLC
Henderson, TN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 44D0972127 belongs to Henderson Residential, LLC in Henderson, TN.
Certificate of Waiver, effective March 30, 2026, expires March 29, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 30, 2026
- Certificate expiration
- March 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2000
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 44D0972127
- Lab name
- Henderson Residential, LLC
- Additional name
- DBA Southern Oaks Assisted Living
- Address
- 558 White Avenue, Henderson, TN 38340
- Phone
- (900) 983-3200
- Fax
- (901) 983-3209
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Henderson, TN
- Anew Family Medical, PLLCCertificate of Waiver, Rural health clinic44D2186775
- Chester County JailCertificate of Waiver, Other44D2096544
- Christian Family Medicine, IncCertificate of Waiver, Physician office44D0694761
- City Drug StoreCertificate of Waiver, Pharmacy44D2326318
- Dialysis Clinic, IncCertificate of Waiver, End stage renal disease dialysis facility44D2221580
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Other44D2082770
- Freed-Hardeman University Health ClinicCertificate of Waiver, School or student health service44D2211048
- Frix-Jenning ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office44D2110921
- Henderson Family Eye CareCertificate of Waiver, Other practitioner44D2000119
- Henderson Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center44D1077005
Related
Questions
What is the CLIA number for Henderson Residential, LLC in Henderson?
44D0972127, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henderson Residential, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 44D0972127 expire?
The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.