44D0964564 CLIA NUMBER - HOMETOWN MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 44D0964564
  • Facility Name: HOMETOWN MEDICAL CLINIC
  • Facility Address: 167 WARREN ST
    MADISONVILLE, TN
    ZIP 37354
  • Facility Phone: 423 442-5480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHERIE LYNN HANSEN
  • NPI Number: 1295072304
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0964564
LAB Type Physician Office
Facility Name HOMETOWN MEDICAL CLINIC
Street 167 WARREN ST
City MADISONVILLE
State TN
ZIP 37354
Phone 423 442-5480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Physician Office
Lab Director CHERIE LYNN HANSEN

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