44D1032349 CLIA NUMBER - FUNCTIONAL INDEPENDENCE HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 44D1032349
  • Facility Name: FUNCTIONAL INDEPENDENCE HOME CARE, INC
  • Facility Address: 270 GERMAN OAK DRIVE
    CORDOVA, TN
    ZIP 38018
  • Facility Phone: 901 363-6046
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: NACHELLE L. HUBBARD
  • NPI Number: 1215983796
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 44D1032349
LAB Type Other
Facility Name FUNCTIONAL INDEPENDENCE HOME CARE, INC
Street 270 GERMAN OAK DRIVE
City CORDOVA
State TN
ZIP 38018
Phone 901 363-6046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Other
Lab Director NACHELLE L. HUBBARD

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