44D2121842 CLIA NUMBER - AGAPE FAMILY HEALTH, LLC

Laboratory Demographics

CLIA Number: 44D2121842

Facility Name: AGAPE FAMILY HEALTH, LLC

Facility Address:
915 SOUTH GARDEN STREET
COLUMBIA, TN
ZIP 38401
Get Directions

Facility Phone Number: 931 548-8090

Facility Type: Other - NURSE PRACTIONER PRIMARY

Certificate Type: Waiver

NPI Number: 1073066205

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2121842
LAB Type	Other - NURSE PRACTIONER PRIMARY
Facility Name	AGAPE FAMILY HEALTH, LLC
Street	915 SOUTH GARDEN STREET
City	COLUMBIA
State	TN
ZIP	38401
Phone	931 548-8090
CertificateType	4
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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