44D0315614 CLIA NUMBER - CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0315614
  • Facility Name: CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
  • Facility Address: 187 WEST MAIN STREET
    DECATURVILLE, TN
    ZIP 38329
  • Facility Phone: 731 852-2761
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: CHELSEY J. SPARKS
  • NPI Number: 1295008795
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0315614
LAB Type Practitioner Other
Facility Name CHELSEY SPARKS DBA DECATURVILLE FAMILY PRACTICE
Street 187 WEST MAIN STREET
City DECATURVILLE
State TN
ZIP 38329
Phone 731 852-2761
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 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Practitioner Other
Lab Director CHELSEY J. SPARKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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