44D0691760 CLIA NUMBER - MARTIN HEALTH DBA WEST TN MEDICAL GROUP PRIMARY CARE MARTIN

Laboratory Demographics

  • CLIA Code: 44D0691760
  • Facility Name: MARTIN HEALTH DBA WEST TN MEDICAL GROUP PRIMARY CARE MARTIN
  • Facility Address: 143 KENNEDY DRIVE
    MARTIN, TN
    ZIP 38237
  • Facility Phone: 731 587-5321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL BRYANT
  • NPI Number: 1871034462
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0691760
LAB Type Physician Office
Facility Name MARTIN HEALTH DBA WEST TN MEDICAL GROUP PRIMARY CARE MARTIN
Street 143 KENNEDY DRIVE
City MARTIN
State TN
ZIP 38237
Phone 731 587-5321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director DR. MICHAEL BRYANT

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