44D0910650 CLIA NUMBER - JACKSON CLINIC PA SOUTH, THE

Laboratory Demographics

  • CLIA Code: 44D0910650
  • Facility Name: JACKSON CLINIC PA SOUTH, THE
  • Facility Address: 1893 SOUTH HIGHLAND AVE
    JACKSON, TN
    ZIP 38301
  • Facility Phone: 731 423-5585
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMY C. BARBER
  • NPI Number: 1376647545
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 44D0910650
LAB Type Physician Office
Facility Name JACKSON CLINIC PA SOUTH, THE
Street 1893 SOUTH HIGHLAND AVE
City JACKSON
State TN
ZIP 38301
Phone 731 423-5585
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Physician Office
Lab Director AMY C. BARBER

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