44D0962574 CLIA NUMBER - FAMILY PRACTICE CLINIC PC

Laboratory Demographics

  • CLIA Code: 44D0962574
  • Facility Name: FAMILY PRACTICE CLINIC PC
  • Facility Address: 1445 PARR AVENUE
    DYERSBURG, TN
    ZIP 38024
  • Facility Phone: 731 286-6156
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SHARI P. HEATHCOTT
  • NPI Number: 1023380474
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D0962574
LAB Type Practitioner Other
Facility Name FAMILY PRACTICE CLINIC PC
Street 1445 PARR AVENUE
City DYERSBURG
State TN
ZIP 38024
Phone 731 286-6156
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Practitioner Other
Lab Director SHARI P. HEATHCOTT

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