44D2038768 CLIA NUMBER - AMEN CLINIC

Laboratory Demographics

  • CLIA Code: 44D2038768
  • Facility Name: AMEN CLINIC
  • Facility Address: 150 MURRAY GUARD DRIVE
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 300-3168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EZEKIEL ADETUNJI
  • NPI Number: 1407121551
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2038768
LAB Type Physician Office
Facility Name AMEN CLINIC
Street 150 MURRAY GUARD DRIVE
City JACKSON
State TN
ZIP 38305
Phone 731 300-3168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director EZEKIEL ADETUNJI

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