44D0315280 CLIA NUMBER - MC KENZIE MEDICAL CENTER DBA HOMETOWN HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 44D0315280
  • Facility Name: MC KENZIE MEDICAL CENTER DBA HOMETOWN HEALTH CLINIC
  • Facility Address: 205A HOSPITAL DRIVE
    MC KENZIE, TN
    ZIP 38201
  • Facility Phone: 731 352-7907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TERRY A. COLOTTA
  • NPI Number: 1245401231
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0315280
LAB Type Physician Office
Facility Name MC KENZIE MEDICAL CENTER DBA HOMETOWN HEALTH CLINIC
Street 205A HOSPITAL DRIVE
City MC KENZIE
State TN
ZIP 38201
Phone 731 352-7907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Physician Office
Lab Director DR. TERRY A. COLOTTA

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