44D2157468 CLIA NUMBER - PICKETT COUNTY AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 44D2157468
  • Facility Name: PICKETT COUNTY AMBULANCE SERVICE
  • Facility Address: 8817 HWY 111
    BYRDSTOWN, TN
    ZIP 38549
  • Facility Phone: 931 864-3182
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: GARRY D. GARRETT
  • NPI Number: 1649261983
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 44D2157468
LAB Type Ambulance
Facility Name PICKETT COUNTY AMBULANCE SERVICE
Street 8817 HWY 111
City BYRDSTOWN
State TN
ZIP 38549
Phone 931 864-3182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Ambulance
Lab Director GARRY D. GARRETT

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