44D0996983 CLIA NUMBER - FIRSTCARE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 44D0996983
  • Facility Name: FIRSTCARE MEDICAL CENTER
  • Facility Address: 168 UNIVERSITY PKWY SUITE A & B
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 512-0043
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA R. OBI MD
  • NPI Number: 1922212067
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0996983
LAB Type Physician Office
Facility Name FIRSTCARE MEDICAL CENTER
Street 168 UNIVERSITY PKWY SUITE A & B
City JACKSON
State TN
ZIP 38305
Phone 731 512-0043
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director PATRICIA R. OBI MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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