44D0958448 CLIA NUMBER - DELTA CLINICS, PLC DBA HEART AND VASCULAR CENTER OF WEST TENNESSEE

Laboratory Demographics

  • CLIA Code: 44D0958448
  • Facility Name: DELTA CLINICS, PLC DBA HEART AND VASCULAR CENTER OF WEST TENNESSEE
  • Facility Address: 9486 HWY 412 WEST, SUITE A
    LEXINGTON, TN
    ZIP 38351
  • Facility Phone: 731 968-0984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SIMON OKEWOLE
  • NPI Number: 1396033379
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0958448
LAB Type Physician Office
Facility Name DELTA CLINICS, PLC DBA HEART AND VASCULAR CENTER OF WEST TENNESSEE
Street 9486 HWY 412 WEST, SUITE A
City LEXINGTON
State TN
ZIP 38351
Phone 731 968-0984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. SIMON OKEWOLE

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