25D2230129 CLIA NUMBER - TENN-TOM MED

Laboratory Demographics

CLIA Number: 25D2230129

Facility Name: TENN-TOM MED

Facility Address:
369 HWY 72
BURNSVILLE, MS
ZIP 38833
Get Directions

Facility Phone Number: 662 427-4040

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174294797

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2230129
LAB Type	Physician Office
Facility Name	TENN-TOM MED
Street	369 HWY 72
City	BURNSVILLE
State	MS
ZIP	38833
Phone	662 427-4040
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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