44D2068995 CLIA NUMBER - WAYNE COUNTY CARE D/B/A QCHC

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Laboratory Demographics

CLIA Number: 44D2068995

Facility Name: WAYNE COUNTY CARE D/B/A QCHC

Facility Address:
1016 ANDREW JACKSON DR
WAYNESBORO, TN
ZIP 38485
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Facility Phone Number: 931 722-9745

Facility Type: Other - COUNTY JAIL

Certificate Type: Waiver

NPI Number: 1942347000

Taxonomy: 347E00000X - Transportation Broker
An organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation.

CLIA Record

Field Name	Field Value
CLIA Number	44D2068995
LAB Type	Other - COUNTY JAIL
Facility Name	WAYNE COUNTY CARE D/B/A QCHC
Street	1016 ANDREW JACKSON DR
City	WAYNESBORO
State	TN
ZIP	38485
Phone	931 722-9745
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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