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44D1085150 CLIA NUMBER - LEBANON GENERAL PRACTICE

Laboratory Demographics

CLIA Number: 44D1085150

Facility Name: LEBANON GENERAL PRACTICE

Facility Address:
228 WEST MAIN STREET SUITE B
LEBANON, TN
ZIP 37087
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Facility Phone Number: 615 453-4532

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1659496040

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 44D1085150
LAB Type Physician Office
Facility Name LEBANON GENERAL PRACTICE
Street 228 WEST MAIN STREET SUITE B
City LEBANON
State TN
ZIP 37087
Phone 615 453-4532
CertificateType 4
CertificateEffectiveDate 6/11/2022
CertificateExpirationDate 6/10/2024
FacilityType Waiver

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