44D0704000 CLIA NUMBER - LOBELVILLE CLINIC

Laboratory Demographics

  • CLIA Code: 44D0704000
  • Facility Name: LOBELVILLE CLINIC
  • Facility Address: 236 N MAIN ST
    LOBELVILLE, TN
    ZIP 37097
  • Facility Phone: 931 593-2277
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY JO WARREN
  • NPI Number: 1194923029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0704000
LAB Type Physician Office
Facility Name LOBELVILLE CLINIC
Street 236 N MAIN ST
City LOBELVILLE
State TN
ZIP 37097
Phone 931 593-2277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director MARY JO WARREN

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