44D0975649 CLIA NUMBER - LAWRENCEBURG FAMILY PRACTICE ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 44D0975649
  • Facility Name: LAWRENCEBURG FAMILY PRACTICE ASSOCIATES PC
  • Facility Address: 104 NORTH LOCUST AVENUE
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 762-6476
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HOMER L. STALEY
  • NPI Number: 1669959540
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0975649
LAB Type Physician Office
Facility Name LAWRENCEBURG FAMILY PRACTICE ASSOCIATES PC
Street 104 NORTH LOCUST AVENUE
City LAWRENCEBURG
State TN
ZIP 38464
Phone 931 762-6476
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Physician Office
Lab Director DR. HOMER L. STALEY

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