44D2154716 CLIA NUMBER - AMG CROCKETT, LLC DBA FIRST CHOICE HEALTH LAWRENCEBURG

Laboratory Demographics

  • CLIA Code: 44D2154716
  • Facility Name: AMG CROCKETT, LLC DBA FIRST CHOICE HEALTH LAWRENCEBURG
  • Facility Address: 2019 N LOCUST AVE
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 762-1800
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: AMY CULP
  • NPI Number: 1578563409
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2154716
LAB Type Rural Health Clinic
Facility Name AMG CROCKETT, LLC DBA FIRST CHOICE HEALTH LAWRENCEBURG
Street 2019 N LOCUST AVE
City LAWRENCEBURG
State TN
ZIP 38464
Phone 931 762-1800
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Rural Health Clinic
Lab Director AMY CULP

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