44D2224797 CLIA NUMBER - MONTEREY MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 44D2224797
  • Facility Name: MONTEREY MEDICAL, LLC
  • Facility Address: 400 WEST CRAWFORD AVE
    MONTEREY, TN
    ZIP 38574
  • Facility Phone: 931 839-2224
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD CLARK
  • NPI Number: 1497339790
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2224797
LAB Type Rural Health Clinic
Facility Name MONTEREY MEDICAL, LLC
Street 400 WEST CRAWFORD AVE
City MONTEREY
State TN
ZIP 38574
Phone 931 839-2224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2025
Certificate Expiration Date 5/15/2027
Facility Type Rural Health Clinic
Lab Director DR. RICHARD CLARK

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