44D0306641 CLIA NUMBER - DAVID L GULLETT MD

Laboratory Demographics

  • CLIA Code: 44D0306641
  • Facility Name: DAVID L GULLETT MD
  • Facility Address: 434 FRANKLIN STREET
    CLARKSVILLE, TN
    ZIP 37040
  • Facility Phone: 931 647-7875
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID L. GULLETT MD
  • NPI Number: 1568481125
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0306641
LAB Type Physician Office
Facility Name DAVID L GULLETT MD
Street 434 FRANKLIN STREET
City CLARKSVILLE
State TN
ZIP 37040
Phone 931 647-7875
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DAVID L. GULLETT MD

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