44D0307212 CLIA NUMBER - MACON HOSPITAL, INC DBA MACON COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 44D0307212
  • Facility Name: MACON HOSPITAL, INC DBA MACON COMMUNITY HOSPITAL
  • Facility Address: 305 WEST LOCUST STREET
    LAFAYETTE, TN
    ZIP 37083
  • Facility Phone: 615 688-7911
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ALBERT DOMM
  • NPI Number: 1033200852
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 44D0307212
LAB Type Hospital
Facility Name MACON HOSPITAL, INC DBA MACON COMMUNITY HOSPITAL
Street 305 WEST LOCUST STREET
City LAFAYETTE
State TN
ZIP 37083
Phone 615 688-7911
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. ALBERT DOMM

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