44D0681957 CLIA NUMBER - OSCAR S SPIVEY JR MD

Laboratory Demographics

  • CLIA Code: 44D0681957
  • Facility Name: OSCAR S SPIVEY JR MD
  • Facility Address: 1502 SPARTA STREET
    MC MINNVILLE, TN
    ZIP 37110
  • Facility Phone: 615 473-1526
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: OSCAR S. SPIVEY
  • NPI Number: 1326146911
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 44D0681957
LAB Type Physician Office
Facility Name OSCAR S SPIVEY JR MD
Street 1502 SPARTA STREET
City MC MINNVILLE
State TN
ZIP 37110
Phone 615 473-1526
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 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director OSCAR S. SPIVEY

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