44D1053717 CLIA NUMBER - JACKSON UROLOGICAL ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 44D1053717
  • Facility Name: JACKSON UROLOGICAL ASSOCIATES PC
  • Facility Address: 1720 E REELFOOT AVENUE, SUITE 202
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: (731) 427-9971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER G. LAWRENCE MD
  • NPI Number: 1770566986
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D1053717
LAB Type Physician Office
Facility Name JACKSON UROLOGICAL ASSOCIATES PC
Street 1720 E REELFOOT AVENUE, SUITE 202
City UNION CITY
State TN
ZIP 38261
Phone 7314279971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2026
Certificate Expiration Date 5/2/2028
Facility Type Physician Office
Lab Director PETER G. LAWRENCE MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026