44D0925757 CLIA NUMBER - GEORGE MATHAI MD

Laboratory Demographics

  • CLIA Code: 44D0925757
  • Facility Name: GEORGE MATHAI MD
  • Facility Address: 224 LONG STREET
    NEW JOHNSONVILLE, TN
    ZIP 37134
  • Facility Phone: 931 535-3734
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE MATHAI MD
  • NPI Number: 1316098858
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0925757
LAB Type Physician Office
Facility Name GEORGE MATHAI MD
Street 224 LONG STREET
City NEW JOHNSONVILLE
State TN
ZIP 37134
Phone 931 535-3734
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director GEORGE MATHAI MD

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