44D1013683 CLIA NUMBER - HALL MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 44D1013683
  • Facility Name: HALL MEDICAL CLINIC LLC
  • Facility Address: 107 JV MANGUBAT DRIVE
    WAYNESBORO, TN
    ZIP 38485
  • Facility Phone: (931) 722-2800
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: VALERIE A. HALL-GLASS
  • NPI Number: 1952065328
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1013683
LAB Type Rural Health Clinic
Facility Name HALL MEDICAL CLINIC LLC
Street 107 JV MANGUBAT DRIVE
City WAYNESBORO
State TN
ZIP 38485
Phone 9317222800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Rural Health Clinic
Lab Director VALERIE A. HALL-GLASS

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This page was last updated on: 5/18/2026