44D1061907 CLIA NUMBER - WHITE COUNTY EMS

Laboratory Demographics

  • CLIA Code: 44D1061907
  • Facility Name: WHITE COUNTY EMS
  • Facility Address: 175 MEDIC DRIVE
    SPARTA, TN
    ZIP 38583
  • Facility Phone: 931 836-2899
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: REX CLOUSE
  • NPI Number: 1912278656
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1061907
LAB Type Ambulance
Facility Name WHITE COUNTY EMS
Street 175 MEDIC DRIVE
City SPARTA
State TN
ZIP 38583
Phone 931 836-2899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Ambulance
Lab Director REX CLOUSE

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