44D2323262 CLIA NUMBER - MICHAEL L BOBO, DSS, MD, PSC

Laboratory Demographics

  • CLIA Code: 44D2323262
  • Facility Name: MICHAEL L BOBO, DSS, MD, PSC
  • Facility Address: 1320 PLEASANT VALLEY AVE
    UNION CITY, TN
    ZIP 38261
  • Facility Phone: 270 759-4063
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL L. BOBO
  • NPI Number: 1417031436
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 44D2323262
LAB Type Physician Office
Facility Name MICHAEL L BOBO, DSS, MD, PSC
Street 1320 PLEASANT VALLEY AVE
City UNION CITY
State TN
ZIP 38261
Phone 270 759-4063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Physician Office
Lab Director DR. MICHAEL L. BOBO

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