44D1061561 CLIA NUMBER - ADVANCED CARE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 44D1061561
  • Facility Name: ADVANCED CARE INTERNAL MEDICINE
  • Facility Address: 455 N CHANCERY STREET
    MC MINNVILLE, TN
    ZIP 37110
  • Facility Phone: 931 474-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CETIN HEKIMOGLU
  • NPI Number: 1366978728
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D1061561
LAB Type Physician Office
Facility Name ADVANCED CARE INTERNAL MEDICINE
Street 455 N CHANCERY STREET
City MC MINNVILLE
State TN
ZIP 37110
Phone 931 474-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director CETIN HEKIMOGLU

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