44D1081313 CLIA NUMBER - TERRELL CLINIC

Laboratory Demographics

  • CLIA Code: 44D1081313
  • Facility Name: TERRELL CLINIC
  • Facility Address: 701 E REELFOOT AVENUE SUITE 100
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 731 885-9687
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RENEA NAGEL-TERRELL
  • NPI Number: 1053581744
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D1081313
LAB Type Practitioner Other
Facility Name TERRELL CLINIC
Street 701 E REELFOOT AVENUE SUITE 100
City UNION CITY
State TN
ZIP 38261
Phone 731 885-9687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Practitioner Other
Lab Director RENEA NAGEL-TERRELL

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