44D2205472 CLIA NUMBER - CVC PLLC

Laboratory Demographics

  • CLIA Code: 44D2205472
  • Facility Name: CVC PLLC
  • Facility Address: 58 MURRAY GUARD DR
    JACKSON, TN
    ZIP 38305
  • Facility Phone: 731 513-5701
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELLIOT KURBAN
  • NPI Number: 1053935437
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D2205472
LAB Type Physician Office
Facility Name CVC PLLC
Street 58 MURRAY GUARD DR
City JACKSON
State TN
ZIP 38305
Phone 731 513-5701
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director DR. ELLIOT KURBAN

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