44D0315962 CLIA NUMBER - SOUTHERN COMFORT-PRIMARY & CHRONIC CARE MANAGEMENT

Laboratory Demographics

  • CLIA Code: 44D0315962
  • Facility Name: SOUTHERN COMFORT-PRIMARY & CHRONIC CARE MANAGEMENT
  • Facility Address: 416 N LOCUST AVE
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 762-8588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HALEY KIMBRELL
  • NPI Number: 1457364671
  • Taxonomy: 207RA0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0315962
LAB Type Physician Office
Facility Name SOUTHERN COMFORT-PRIMARY & CHRONIC CARE MANAGEMENT
Street 416 N LOCUST AVE
City LAWRENCEBURG
State TN
ZIP 38464
Phone 931 762-8588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Physician Office
Lab Director HALEY KIMBRELL

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