44D0856544 CLIA NUMBER - KENNETH W CARR MD

Laboratory Demographics

  • CLIA Code: 44D0856544
  • Facility Name: KENNETH W CARR MD
  • Facility Address: 115 MOUNT PELIA ROAD
    MARTIN, TN
    ZIP 38237
  • Facility Phone: 901 587-5353
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH W. CARR MD
  • NPI Number: 1396738266
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0856544
LAB Type Physician Office
Facility Name KENNETH W CARR MD
Street 115 MOUNT PELIA ROAD
City MARTIN
State TN
ZIP 38237
Phone 901 587-5353
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KENNETH W. CARR MD

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