44D2028087 CLIA NUMBER - COMPLETE EXPRESS CARE

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Laboratory Demographics

CLIA Number: 44D2028087

Facility Name: COMPLETE EXPRESS CARE

Facility Address:
1211 DINAH SHORE BLVD
WINCHESTER, TN
ZIP 37398
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Facility Phone Number: 931 967-6669

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083909204

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2028087
LAB Type	Physician Office
Facility Name	COMPLETE EXPRESS CARE
Street	1211 DINAH SHORE BLVD
City	WINCHESTER
State	TN
ZIP	37398
Phone	931 967-6669
CertificateType	4
CertificateEffectiveDate	1/4/2023
CertificateExpirationDate	1/3/2025
FacilityType	Waiver

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