44D2038768 CLIA NUMBER - AMEN CLINIC

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Laboratory Demographics

CLIA Number: 44D2038768

Facility Name: AMEN CLINIC

Facility Address:
150 MURRAY GUARD DRIVE
JACKSON, TN
ZIP 38305
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Facility Phone Number: 731 300-3168

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1407121551

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
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