44D2253222 CLIA NUMBER - GTW LLC / TRISTAR FAMILY HEALTH

Laboratory Demographics

CLIA Number: 44D2253222

Facility Name: GTW LLC / TRISTAR FAMILY HEALTH

Facility Address:
126 WEST PARIS STREET
HUNTINGDON, TN
ZIP 38344
Get Directions

Facility Phone Number: 731 431-2579

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1104571405

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	44D2253222
LAB Type	Practitioner Other
Facility Name	GTW LLC / TRISTAR FAMILY HEALTH
Street	126 WEST PARIS STREET
City	HUNTINGDON
State	TN
ZIP	38344
Phone	731 431-2579
CertificateType	4
CertificateEffectiveDate	2/18/2024
CertificateExpirationDate	2/17/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024