44D0309776 CLIA NUMBER - MARVEL CLINIC PC

Laboratory Demographics

  • CLIA Code: 44D0309776
  • Facility Name: MARVEL CLINIC PC
  • Facility Address: 1821 NORTH WASHINGTON STREET
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 455-2005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFERY MARVEL MD
  • NPI Number: 1760487086
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D0309776
LAB Type Physician Office
Facility Name MARVEL CLINIC PC
Street 1821 NORTH WASHINGTON STREET
City TULLAHOMA
State TN
ZIP 37388
Phone 931 455-2005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director JEFFERY MARVEL MD

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