44D2149861 CLIA NUMBER - AMG HILLSIDE, LLC DBA SOUTHERN TENNESSEE PRIMARY CARE LYNNVILLE

Laboratory Demographics

  • CLIA Code: 44D2149861
  • Facility Name: AMG HILLSIDE, LLC DBA SOUTHERN TENNESSEE PRIMARY CARE LYNNVILLE
  • Facility Address: 181 MILL STREET
    LYNNVILLE, TN
    ZIP 38472
  • Facility Phone: 931 347-4971
  • Facility Type: Tissue Bank/Repositories
  • Facility Type: Waiver
  • Lab Director: CHRISTINA GROVER
  • NPI Number: 1407688369
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2149861
LAB Type Tissue Bank/Repositories
Facility Name AMG HILLSIDE, LLC DBA SOUTHERN TENNESSEE PRIMARY CARE LYNNVILLE
Street 181 MILL STREET
City LYNNVILLE
State TN
ZIP 38472
Phone 931 347-4971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2024
Certificate Expiration Date 6/11/2026
Facility Type Tissue Bank/Repositories
Lab Director CHRISTINA GROVER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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