44D1029433 CLIA NUMBER - ROSEMARK FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 44D1029433
  • Facility Name: ROSEMARK FAMILY MEDICINE
  • Facility Address: 1984 ROSEMARK ROAD
    ATOKA, TN
    ZIP 38004
  • Facility Phone: 901 837-7785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANDY B. FRANKS
  • NPI Number: 1083785588
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D1029433
LAB Type Physician Office
Facility Name ROSEMARK FAMILY MEDICINE
Street 1984 ROSEMARK ROAD
City ATOKA
State TN
ZIP 38004
Phone 901 837-7785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director BRANDY B. FRANKS

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