44D1050099 CLIA NUMBER - WARREN COUNTY BOARD OF EDUCATION ATTN HEALTH SERVICES

Laboratory Demographics

CLIA Number: 44D1050099

Facility Name: WARREN COUNTY BOARD OF EDUCATION ATTN HEALTH SERVICES

Facility Address:
2548 MORRISON STREET
MC MINNVILLE, TN
ZIP 37110
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Facility Phone Number: 931 668-4022

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1790760767

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	44D1050099
LAB Type	School/Student Health Service
Facility Name	WARREN COUNTY BOARD OF EDUCATION ATTN HEALTH SERVICES
Street	2548 MORRISON STREET
City	MC MINNVILLE
State	TN
ZIP	37110
Phone	931 668-4022
CertificateType	4
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	Waiver

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