44D2176165 CLIA NUMBER - PUTNAM COUNTY

Laboratory Demographics

  • CLIA Code: 44D2176165
  • Facility Name: PUTNAM COUNTY
  • Facility Address: 421 EAST SPRING STREET
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 205 437-1512
  • Facility Type: Other - COUNTY JAIL
  • Facility Type: Waiver
  • Lab Director: DR. JOHNNY BATES
  • NPI Number: 1548415102
  • Taxonomy: 261QP0905X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2176165
LAB Type Other - COUNTY JAIL
Facility Name PUTNAM COUNTY
Street 421 EAST SPRING STREET
City COOKEVILLE
State TN
ZIP 38501
Phone 205 437-1512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other - COUNTY JAIL
Lab Director DR. JOHNNY BATES

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