44D0687909 CLIA NUMBER - AMG-LIVINGSTON, LLC DBA OASIS FAMILY WELLNESS

Laboratory Demographics

  • CLIA Code: 44D0687909
  • Facility Name: AMG-LIVINGSTON, LLC DBA OASIS FAMILY WELLNESS
  • Facility Address: 4120 BRADFORD HICKS DRIVE
    LIVINGSTON, TN
    ZIP 38570
  • Facility Phone: 931 823-5603
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JON O. HUMPHREY
  • NPI Number: 1699869297
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D0687909
LAB Type Physician Office
Facility Name AMG-LIVINGSTON, LLC DBA OASIS FAMILY WELLNESS
Street 4120 BRADFORD HICKS DRIVE
City LIVINGSTON
State TN
ZIP 38570
Phone 931 823-5603
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 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director DR. JON O. HUMPHREY

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