44D0941788 CLIA NUMBER - ARDMORE FAMILY MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 44D0941788
  • Facility Name: ARDMORE FAMILY MEDICAL CLINIC
  • Facility Address: 26495 MAIN ST
    ARDMORE, TN
    ZIP 38449
  • Facility Phone: 931 427-6968
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH R. VERBEEK
  • NPI Number: 1194835645
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0941788
LAB Type Practitioner Other
Facility Name ARDMORE FAMILY MEDICAL CLINIC
Street 26495 MAIN ST
City ARDMORE
State TN
ZIP 38449
Phone 931 427-6968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Practitioner Other
Lab Director DEBORAH R. VERBEEK

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