44D0936680 CLIA NUMBER - MEIGS COUNTY AMBULANCE SERVICE

Laboratory Demographics

CLIA Number: 44D0936680

Facility Name: MEIGS COUNTY AMBULANCE SERVICE

Facility Address:
14816 STATE HIGHWAY 58, SOUTH
DECATUR, TN
ZIP 37322
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Facility Phone Number: 423 334-3033

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1760694665

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D0936680
LAB Type	Other
Facility Name	MEIGS COUNTY AMBULANCE SERVICE
Street	14816 STATE HIGHWAY 58, SOUTH
City	DECATUR
State	TN
ZIP	37322
Phone	423 334-3033
CertificateType	4
CertificateEffectiveDate	12/1/2023
CertificateExpirationDate	11/30/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024