44D2252945 CLIA NUMBER - ADVANCED WOUND CENTER SOUTHERN TENNESSEE

Laboratory Demographics

  • CLIA Code: 44D2252945
  • Facility Name: ADVANCED WOUND CENTER SOUTHERN TENNESSEE
  • Facility Address: 1611 SOUTH LOCUST AVE, SUITE 100A
    LAWRENCEBURG, TN
    ZIP 38464
  • Facility Phone: 931 762-6571
  • Facility Type: Other - ANCILLARY TESTING
  • Facility Type: Waiver
  • Lab Director: MICHAEL Q. HUYNH
  • NPI Number: 1427030220
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 44D2252945
LAB Type Other - ANCILLARY TESTING
Facility Name ADVANCED WOUND CENTER SOUTHERN TENNESSEE
Street 1611 SOUTH LOCUST AVE, SUITE 100A
City LAWRENCEBURG
State TN
ZIP 38464
Phone 931 762-6571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2024
Certificate Expiration Date 2/15/2026
Facility Type Other - ANCILLARY TESTING
Lab Director MICHAEL Q. HUYNH

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