44D0306704 CLIA NUMBER - PREMIER MEDICAL GROUP DBA CENTRAL LABORATORY

Laboratory Demographics

  • CLIA Code: 44D0306704
  • Facility Name: PREMIER MEDICAL GROUP DBA CENTRAL LABORATORY
  • Facility Address: 490 DUNLOP LANE
    CLARKSVILLE, TN
    ZIP 37040
  • Facility Phone: 931 245-8614
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN SCOTT MCCULLOUGH
  • NPI Number: 1740242957
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 44D0306704
LAB Type Physician Office
Facility Name PREMIER MEDICAL GROUP DBA CENTRAL LABORATORY
Street 490 DUNLOP LANE
City CLARKSVILLE
State TN
ZIP 37040
Phone 931 245-8614
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director DR. JOHN SCOTT MCCULLOUGH

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