44D2047996 CLIA NUMBER - GOODWIN CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 44D2047996
  • Facility Name: GOODWIN CHILDRENS CLINIC
  • Facility Address: 157 W CHURCH ST
    LEXINGTON, TN
    ZIP 38351
  • Facility Phone: 731 968-8182
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARY K. GOODWIN
  • NPI Number: 1548515638
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2047996
LAB Type Practitioner Other
Facility Name GOODWIN CHILDRENS CLINIC
Street 157 W CHURCH ST
City LEXINGTON
State TN
ZIP 38351
Phone 731 968-8182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Practitioner Other
Lab Director MARY K. GOODWIN

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