44D2306686 CLIA NUMBER - BROWN BEHAVIORAL HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 44D2306686
  • Facility Name: BROWN BEHAVIORAL HEALTH SERVICES
  • Facility Address: 793 TENNESSEE ST
    BOLIVAR, TN
    ZIP 38008
  • Facility Phone: 731 228-9068
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: AVANTI CROSS-BROWN
  • NPI Number: 1699416636
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2306686
LAB Type Rural Health Clinic
Facility Name BROWN BEHAVIORAL HEALTH SERVICES
Street 793 TENNESSEE ST
City BOLIVAR
State TN
ZIP 38008
Phone 731 228-9068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Rural Health Clinic
Lab Director AVANTI CROSS-BROWN

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