44D0951350 CLIA NUMBER - JACKSON COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 44D0951350
  • Facility Name: JACKSON COUNTY AMBULANCE SERVICE
  • Facility Address: 316 N MURRAY ST
    GAINESBORO, TN
    ZIP 38562
  • Facility Phone: 931 268-2556
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JIM W. MORGAN
  • NPI Number: 1043497555
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0951350
LAB Type Other
Facility Name JACKSON COUNTY AMBULANCE SERVICE
Street 316 N MURRAY ST
City GAINESBORO
State TN
ZIP 38562
Phone 931 268-2556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Other
Lab Director JIM W. MORGAN

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