44D0986724 CLIA NUMBER - AMG CROCKETT LLC DBA FIRST CHOICE HEALTH

Laboratory Demographics

  • CLIA Code: 44D0986724
  • Facility Name: AMG CROCKETT LLC DBA FIRST CHOICE HEALTH
  • Facility Address: 722 N MILITARY STREET
    LORETTO, TN
    ZIP 38469
  • Facility Phone: 931 853-4622
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: LORI LONG
  • NPI Number: 1811543929
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0986724
LAB Type Rural Health Clinic
Facility Name AMG CROCKETT LLC DBA FIRST CHOICE HEALTH
Street 722 N MILITARY STREET
City LORETTO
State TN
ZIP 38469
Phone 931 853-4622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Rural Health Clinic
Lab Director LORI LONG

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