44D2161251 CLIA NUMBER - HOMETOWN HEALTHCARE CLINIC LLC

Laboratory Demographics

CLIA Number: 44D2161251

Facility Name: HOMETOWN HEALTHCARE CLINIC LLC

Facility Address:
80 LEWIS STREET
SAVANNAH, TN
ZIP 38372
Get Directions

Facility Phone Number: 731 400-4889

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568972495

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	44D2161251
LAB Type	Physician Office
Facility Name	HOMETOWN HEALTHCARE CLINIC LLC
Street	80 LEWIS STREET
City	SAVANNAH
State	TN
ZIP	38372
Phone	731 400-4889
CertificateType	4
CertificateEffectiveDate	1/29/2023
CertificateExpirationDate	1/28/2025
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