44D1056275 CLIA NUMBER - EVANS MEDICAL CLINIC, PLLC

Laboratory Demographics

  • CLIA Code: 44D1056275
  • Facility Name: EVANS MEDICAL CLINIC, PLLC
  • Facility Address: 3493 VETERAN'S DRIVE NORTH SUITE C
    HUNTINGDON, TN
    ZIP 38344
  • Facility Phone: 731 986-2933
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: KARON W. HATHCOAT
  • NPI Number: 1295904902
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1056275
LAB Type Physician Office
Facility Name EVANS MEDICAL CLINIC, PLLC
Street 3493 VETERAN'S DRIVE NORTH SUITE C
City HUNTINGDON
State TN
ZIP 38344
Phone 731 986-2933
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director KARON W. HATHCOAT

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