44D2201973 CLIA NUMBER - MCMINNVILLE BOARDING HOME FOR THE ELDERLY

Laboratory Demographics

  • CLIA Code: 44D2201973
  • Facility Name: MCMINNVILLE BOARDING HOME FOR THE ELDERLY
  • Facility Address: 345 GARFIELD STREET
    MC MINNVILLE, TN
    ZIP 37110
  • Facility Phone: 931 473-4760
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ADAM BRYAN
  • NPI Number: 1306809199
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 44D2201973
LAB Type Assisted Living Facility
Facility Name MCMINNVILLE BOARDING HOME FOR THE ELDERLY
Street 345 GARFIELD STREET
City MC MINNVILLE
State TN
ZIP 37110
Phone 931 473-4760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Assisted Living Facility
Lab Director ADAM BRYAN

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