44D1023770 CLIA NUMBER - WEST CLINIC,THE

Laboratory Demographics

  • CLIA Code: 44D1023770
  • Facility Name: WEST CLINIC,THE
  • Facility Address: 240 GRANDVIEW DR
    BRIGHTON, TN
    ZIP 38011
  • Facility Phone: 901 683-0055
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GARY TIAN
  • NPI Number: 1164594081
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1023770
LAB Type Physician Office
Facility Name WEST CLINIC,THE
Street 240 GRANDVIEW DR
City BRIGHTON
State TN
ZIP 38011
Phone 901 683-0055
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director DR. GARY TIAN

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