44D2072444 CLIA NUMBER - SARAH M THELEN, MD

Laboratory Demographics

  • CLIA Code: 44D2072444
  • Facility Name: SARAH M THELEN, MD
  • Facility Address: 305 COLLEGE STREET WEST
    FAYETTEVILLE, TN
    ZIP 37334
  • Facility Phone: 931 227-4984
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. SARAH M. THELEN
  • NPI Number: 1952573289
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2072444
LAB Type Physician Office
Facility Name SARAH M THELEN, MD
Street 305 COLLEGE STREET WEST
City FAYETTEVILLE
State TN
ZIP 37334
Phone 931 227-4984
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 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Physician Office
Lab Director DR. SARAH M. THELEN

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