44D2005425 CLIA NUMBER - METRO MOORE COUNTY AMBULANCE SERVICE

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Laboratory Demographics

CLIA Number: 44D2005425

Facility Name: METRO MOORE COUNTY AMBULANCE SERVICE

Facility Address:
1333 MAIN STREET
LYNCHBURG, TN
ZIP 37352
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Facility Phone Number: 931 759-7260

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1629107263

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	44D2005425
LAB Type	Ambulance
Facility Name	METRO MOORE COUNTY AMBULANCE SERVICE
Street	1333 MAIN STREET
City	LYNCHBURG
State	TN
ZIP	37352
Phone	931 759-7260
CertificateType	4
CertificateEffectiveDate	3/26/2024
CertificateExpirationDate	3/25/2026
FacilityType	Waiver

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