44D2170515 CLIA NUMBER - FOX MEDICAL GROUP LLC DBA MAIN STREET MINOR MEDICAL

Laboratory Demographics

  • CLIA Code: 44D2170515
  • Facility Name: FOX MEDICAL GROUP LLC DBA MAIN STREET MINOR MEDICAL
  • Facility Address: 742 N MAIN STREET
    SHELBYVILLE, TN
    ZIP 37160
  • Facility Phone: 931 735-6003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHERINE H. FOX
  • NPI Number: 1518563444
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2170515
LAB Type Physician Office
Facility Name FOX MEDICAL GROUP LLC DBA MAIN STREET MINOR MEDICAL
Street 742 N MAIN STREET
City SHELBYVILLE
State TN
ZIP 37160
Phone 931 735-6003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director KATHERINE H. FOX

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