44D0309774 CLIA NUMBER - JOHN ANDERSON MD

Laboratory Demographics

  • CLIA Code: 44D0309774
  • Facility Name: JOHN ANDERSON MD
  • Facility Address: 106 WESTSIDE DR SUITE A
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 454-9768
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN A. ANDERSON
  • NPI Number: 1740394790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0309774
LAB Type Physician Office
Facility Name JOHN ANDERSON MD
Street 106 WESTSIDE DR SUITE A
City TULLAHOMA
State TN
ZIP 37388
Phone 931 454-9768
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Physician Office
Lab Director JOHN A. ANDERSON

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