44D2016866 CLIA NUMBER - CHRISTIAN CARE CLINIC

Home > CLIA Lookup > 44D2016866

Laboratory Demographics

CLIA Number: 44D2016866

Facility Name: CHRISTIAN CARE CLINIC

Facility Address:
625 WEST MAIN ST
NEWBERN, TN
ZIP 38059
Get Directions

Facility Phone Number: 731 627-0700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194023408

Taxonomy: 363LP2300X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	44D2016866
LAB Type	Physician Office
Facility Name	CHRISTIAN CARE CLINIC
Street	625 WEST MAIN ST
City	NEWBERN
State	TN
ZIP	38059
Phone	731 627-0700
CertificateType	4
CertificateEffectiveDate	11/29/2022
CertificateExpirationDate	11/28/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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