44D0990774 CLIA NUMBER - WILSON COUNTY EMERGNCY MGT AGENCY

Laboratory Demographics

  • CLIA Code: 44D0990774
  • Facility Name: WILSON COUNTY EMERGNCY MGT AGENCY
  • Facility Address: 110 OAK STREET
    LEBANON, TN
    ZIP 37087
  • Facility Phone: 615 444-8777
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRIAN NEWBERRY
  • NPI Number: 1407992878
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0990774
LAB Type Ambulance
Facility Name WILSON COUNTY EMERGNCY MGT AGENCY
Street 110 OAK STREET
City LEBANON
State TN
ZIP 37087
Phone 615 444-8777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Ambulance
Lab Director BRIAN NEWBERRY

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