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44D1023770 CLIA NUMBER - WEST CLINIC,THE

Laboratory Demographics

CLIA Number: 44D1023770

Facility Name: WEST CLINIC,THE

Facility Address:
240 GRANDVIEW DRIVE
BRIGHTON, TN
ZIP 38011
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Facility Phone Number: 901 475-0678

Facility Type: Physician Office

Certificate Type: Accreditation
NPI Number: 1164594081

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name Field Value
CLIA Number 44D1023770
LAB Type Physician Office
Facility Name WEST CLINIC,THE
Street 240 GRANDVIEW DRIVE
City BRIGHTON
State TN
ZIP 38011
Phone 901 475-0678
CertificateType 1
CertificateEffectiveDate 12/9/2022
CertificateExpirationDate 12/8/2024
FacilityType Accreditation

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This page was last updated on: 4/23/2024