44D0659237 CLIA NUMBER - SNEEDVILLE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 44D0659237

Facility Name: SNEEDVILLE MEDICAL CENTER

Facility Address:
PO BOX 658 1861 MAIN ST
SNEEDVILLE, TN
ZIP 37869
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Facility Phone Number: 615 733-2131

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1669472460

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0659237
LAB Type	Federally Qualified Health Center
Facility Name	SNEEDVILLE MEDICAL CENTER
Street	PO BOX 658 1861 MAIN ST
City	SNEEDVILLE
State	TN
ZIP	37869
Phone	615 733-2131
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024