44D2256435 CLIA NUMBER - SPRINGFIELD ROBERTSON COUNTY EMPLOYEE CLINIC (SRC)

Laboratory Demographics

  • CLIA Code: 44D2256435
  • Facility Name: SPRINGFIELD ROBERTSON COUNTY EMPLOYEE CLINIC (SRC)
  • Facility Address: 900 BROWN STREET
    SPRINGFIELD, TN
    ZIP 37172
  • Facility Phone: 228 273-4002
  • Facility Type: Other - OTHER
  • Facility Type: Waiver
  • Lab Director: ELISABETH J. HALLER
  • NPI Number: 1013409887
  • Taxonomy: 1223P0221X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2256435
LAB Type Other - OTHER
Facility Name SPRINGFIELD ROBERTSON COUNTY EMPLOYEE CLINIC (SRC)
Street 900 BROWN STREET
City SPRINGFIELD
State TN
ZIP 37172
Phone 228 273-4002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Other - OTHER
Lab Director ELISABETH J. HALLER

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