44D2095196 CLIA NUMBER - MOORE LIFE URGENT CARE

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Laboratory Demographics

CLIA Number: 44D2095196

Facility Name: MOORE LIFE URGENT CARE

Facility Address:
253 W MAIN ST
GALLATIN, TN
ZIP 37066
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Facility Phone Number: 615 461-8784

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1760877419

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2095196
LAB Type	Other - URGENT CARE
Facility Name	MOORE LIFE URGENT CARE
Street	253 W MAIN ST
City	GALLATIN
State	TN
ZIP	37066
Phone	615 461-8784
CertificateType	4
CertificateEffectiveDate	11/5/2022
CertificateExpirationDate	11/4/2024
FacilityType	Waiver

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