44D1105124 CLIA NUMBER - MADISON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 44D1105124
  • Facility Name: MADISON FAMILY PRACTICE
  • Facility Address: 621 G-OLD HICKORY BLVD
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 660-6402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEATHER MCFARLAND
  • NPI Number: 1407086101
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D1105124
LAB Type Physician Office
Facility Name MADISON FAMILY PRACTICE
Street 621 G-OLD HICKORY BLVD
City JACKSON
State TN
ZIP 38305
Phone 731 660-6402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director HEATHER MCFARLAND

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