44D2274460 CLIA NUMBER - BAPTIST MEMORIAL HOSPITAL TIPTON-DYERSBURG

Laboratory Demographics

  • CLIA Code: 44D2274460
  • Facility Name: BAPTIST MEMORIAL HOSPITAL TIPTON-DYERSBURG
  • Facility Address: 1700 WOODLAWN AVE
    DYERSBURG, TN
    ZIP 38024
  • Facility Phone: 731 287-8395
  • Facility Type: Other - HOSP DEPT CLINIC
  • Facility Type: Accreditation
  • Lab Director: DONALD GRAVENOR
  • NPI Number: 1245297852
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D2274460
LAB Type Other - HOSP DEPT CLINIC
Facility Name BAPTIST MEMORIAL HOSPITAL TIPTON-DYERSBURG
Street 1700 WOODLAWN AVE
City DYERSBURG
State TN
ZIP 38024
Phone 731 287-8395
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Other - HOSP DEPT CLINIC
Lab Director DONALD GRAVENOR

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This page was last updated on: 6/4/2025