44D0315496 CLIA NUMBER - WOMAN'S CLINIC PA, THE

Laboratory Demographics

  • CLIA Code: 44D0315496
  • Facility Name: WOMAN'S CLINIC PA, THE
  • Facility Address: 244 COATSLAND DRIVE
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 422-4642
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEAN P. GRAY
  • NPI Number: 1962456574
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 44D0315496
LAB Type Physician Office
Facility Name WOMAN'S CLINIC PA, THE
Street 244 COATSLAND DRIVE
City JACKSON
State TN
ZIP 38301
Phone 731 422-4642
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director DR. JEAN P. GRAY

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