44D0307050 CLIA NUMBER - JACK W CAREY JR MD

Laboratory Demographics

  • CLIA Code: 44D0307050
  • Facility Name: JACK W CAREY JR MD
  • Facility Address: 220 BROADWAY
    HARTSVILLE, TN
    ZIP 37074
  • Facility Phone: 615 374-2101
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACK W. CAREY MD
  • NPI Number: 1588738744
  • Taxonomy: 207Q00000X - Family Medicine

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JACK W. CAREY MD

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