44D2001481 CLIA NUMBER - ADVANCED COMMUNITY CARE D/B/A JONESBOROUGH COMMUNITY CARE

Laboratory Demographics

  • CLIA Code: 44D2001481
  • Facility Name: ADVANCED COMMUNITY CARE D/B/A JONESBOROUGH COMMUNITY CARE
  • Facility Address: 415 BOONES CREEK ROAD SUITE #1
    JONESBOROUGH, TN
    ZIP 37659
  • Facility Phone: 423 913-2810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES W. MONTAG JR
  • NPI Number: 1396073870
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2001481
LAB Type Physician Office
Facility Name ADVANCED COMMUNITY CARE D/B/A JONESBOROUGH COMMUNITY CARE
Street 415 BOONES CREEK ROAD SUITE #1
City JONESBOROUGH
State TN
ZIP 37659
Phone 423 913-2810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director JAMES W. MONTAG JR

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