44D0306809 CLIA NUMBER - CLARKSVILLE PHYSICIAN SERVICES GP DBA TENNOVA FAMILY MEDICINE-DOVER

Laboratory Demographics

  • CLIA Code: 44D0306809
  • Facility Name: CLARKSVILLE PHYSICIAN SERVICES GP DBA TENNOVA FAMILY MEDICINE-DOVER
  • Facility Address: 133 DR ROBERT H LEE DR
    DOVER, TN
    ZIP 37058
  • Facility Phone: 931 232-5141
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ATEF EBRHIM
  • NPI Number: 1083657829
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 44D0306809
LAB Type Rural Health Clinic
Facility Name CLARKSVILLE PHYSICIAN SERVICES GP DBA TENNOVA FAMILY MEDICINE-DOVER
Street 133 DR ROBERT H LEE DR
City DOVER
State TN
ZIP 37058
Phone 931 232-5141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Rural Health Clinic
Lab Director DR. ATEF EBRHIM

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