44D0307050 CLIA NUMBER - JACK W CAREY JR MD

Laboratory Demographics

CLIA Number: 44D0307050

Facility Name: JACK W CAREY JR MD

Facility Address:
220 BROADWAY
HARTSVILLE, TN
ZIP 37074
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Facility Phone Number: 615 374-2101

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1588738744

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	44D0307050
LAB Type	Physician Office
Facility Name	JACK W CAREY JR MD
Street	220 BROADWAY
City	HARTSVILLE
State	TN
ZIP	37074
Phone	615 374-2101
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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