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44D2164554 CLIA NUMBER - ANDERSON COUNTY DETENTION FACILITY

Laboratory Demographics

CLIA Number: 44D2164554

Facility Name: ANDERSON COUNTY DETENTION FACILITY

Facility Address:
308 PUBLIC SAFETY LANE
CLINTON, TN
ZIP 37716
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver
NPI Number: 1902078843

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name Field Value
CLIA Number 44D2164554
LAB Type Other - JAIL MEDICAL UNIT
Facility Name ANDERSON COUNTY DETENTION FACILITY
Street 308 PUBLIC SAFETY LANE
City CLINTON
State TN
ZIP 37716
Phone 423 553-5635
CertificateType 4
CertificateEffectiveDate 4/9/2023
CertificateExpirationDate 4/8/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024