44D2128897 CLIA NUMBER - BOYETT HEALTHCARE OF TENNESSEE

Laboratory Demographics

  • CLIA Code: 44D2128897
  • Facility Name: BOYETT HEALTHCARE OF TENNESSEE
  • Facility Address: 37 SANDSTONE CIRCLE, SUITE 92
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 205 208-9312
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: NATALIE MATTHEWS
  • NPI Number: 1487185153
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2128897
LAB Type Practitioner Other
Facility Name BOYETT HEALTHCARE OF TENNESSEE
Street 37 SANDSTONE CIRCLE, SUITE 92
City JACKSON
State TN
ZIP 38305
Phone 205 208-9312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Practitioner Other
Lab Director NATALIE MATTHEWS

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