44D2068906 CLIA NUMBER - WEST TN MEDICAL GROUP WOMEN'S HEALTH MARTIN

Laboratory Demographics

  • CLIA Code: 44D2068906
  • Facility Name: WEST TN MEDICAL GROUP WOMEN'S HEALTH MARTIN
  • Facility Address: 143 KENNEDY DR
    MARTIN, TN
    ZIP 38237
  • Facility Phone: 731 587-5321
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REBECCA JOHNSON
  • NPI Number: 1295223279
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2068906
LAB Type Physician Office
Facility Name WEST TN MEDICAL GROUP WOMEN'S HEALTH MARTIN
Street 143 KENNEDY DR
City MARTIN
State TN
ZIP 38237
Phone 731 587-5321
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director REBECCA JOHNSON

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