44D2004808 CLIA NUMBER - MARTIN CHILDREN'S CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 44D2004808
  • Facility Name: MARTIN CHILDREN'S CLINIC, LLC
  • Facility Address: 130 COMMONS DR
    MARTIN, TN
    ZIP 38237
  • Facility Phone: 731 587-5138
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SUSAN S. LOWRY
  • NPI Number: 1194049064
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2004808
LAB Type Physician Office
Facility Name MARTIN CHILDREN'S CLINIC, LLC
Street 130 COMMONS DR
City MARTIN
State TN
ZIP 38237
Phone 731 587-5138
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director DR. SUSAN S. LOWRY

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