44D0980737 CLIA NUMBER - MERCY CLINIC INC

Laboratory Demographics

  • CLIA Code: 44D0980737
  • Facility Name: MERCY CLINIC INC
  • Facility Address: 315 N WASHINGTON AVENUE SUITE 109
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 372-8668
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REXFORD Y. AGBENOHEVI MD
  • NPI Number: 1710109962
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0980737
LAB Type Physician Office
Facility Name MERCY CLINIC INC
Street 315 N WASHINGTON AVENUE SUITE 109
City COOKEVILLE
State TN
ZIP 38501
Phone 931 372-8668
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director REXFORD Y. AGBENOHEVI MD

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