44D2297991 CLIA NUMBER - PHIPPSCARE

Laboratory Demographics

  • CLIA Code: 44D2297991
  • Facility Name: PHIPPSCARE
  • Facility Address: 20190 MAIN STREET EAST
    HUNTINGDON, TN
    ZIP 38344
  • Facility Phone: 731 535-3522
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JERRY R. PHIPPS
  • NPI Number: 1780457598
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D2297991
LAB Type Pharmacy
Facility Name PHIPPSCARE
Street 20190 MAIN STREET EAST
City HUNTINGDON
State TN
ZIP 38344
Phone 731 535-3522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Pharmacy
Lab Director JERRY R. PHIPPS

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This page was last updated on: 3/20/2025