44D2078698 CLIA NUMBER - HOPE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 44D2078698
  • Facility Name: HOPE MEDICAL CLINIC
  • Facility Address: 21 SECURITY DR
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 661-9163
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: REBECCA GRIGGS
  • NPI Number: 1528470630
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2078698
LAB Type Community Clinic
Facility Name HOPE MEDICAL CLINIC
Street 21 SECURITY DR
City JACKSON
State TN
ZIP 38305
Phone 731 661-9163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Community Clinic
Lab Director REBECCA GRIGGS

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