44D0930311 CLIA NUMBER - ALEXANDRIA PLACE

Laboratory Demographics

  • CLIA Code: 44D0930311
  • Facility Name: ALEXANDRIA PLACE
  • Facility Address: 108 PHYSICIANS DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 664-6099
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER BREWER
  • NPI Number: 1821045576
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 44D0930311
LAB Type Other
Facility Name ALEXANDRIA PLACE
Street 108 PHYSICIANS DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 664-6099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Other
Lab Director JENNIFER BREWER

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