44D1061202 CLIA NUMBER - ADVANCED FAMILY AND URGENT CARE CLINIC

Laboratory Demographics

  • CLIA Code: 44D1061202
  • Facility Name: ADVANCED FAMILY AND URGENT CARE CLINIC
  • Facility Address: 18 ELDAD ROAD
    FAYETTEVILLE, TN
    ZIP 37334
  • Facility Phone: 931 438-8260
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MELINDA T. WILLIAMS
  • NPI Number: 1942375571
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D1061202
LAB Type Physician Office
Facility Name ADVANCED FAMILY AND URGENT CARE CLINIC
Street 18 ELDAD ROAD
City FAYETTEVILLE
State TN
ZIP 37334
Phone 931 438-8260
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MELINDA T. WILLIAMS

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This page was last updated on: 3/20/2025