44D1061057 CLIA NUMBER - DUCK FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 44D1061057

Facility Name: DUCK FAMILY MEDICINE

Facility Address:
8731 RUTLEDGE PIKE/PO BOX 700
RUTLEDGE, TN
ZIP 37861
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Facility Phone Number: 865 548-1297

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1104345271

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D1061057
LAB Type	Physician Office
Facility Name	DUCK FAMILY MEDICINE
Street	8731 RUTLEDGE PIKE/PO BOX 700
City	RUTLEDGE
State	TN
ZIP	37861
Phone	865 548-1297
CertificateType	3
CertificateEffectiveDate	11/8/2022
CertificateExpirationDate	11/7/2024
FacilityType	PPMP

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