44D0307175 CLIA NUMBER - HERMITAGE PRIMARY CARE MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 44D0307175
  • Facility Name: HERMITAGE PRIMARY CARE MEDICAL PRACTICE
  • Facility Address: 5653 FRIST BLVD, SUITE 236
    HERMITAGE, TN
    ZIP 37076
  • Facility Phone: 615 232-8812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RACHEL MCHENRY
  • NPI Number: 1942715594
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 44D0307175
LAB Type Physician Office
Facility Name HERMITAGE PRIMARY CARE MEDICAL PRACTICE
Street 5653 FRIST BLVD, SUITE 236
City HERMITAGE
State TN
ZIP 37076
Phone 615 232-8812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director RACHEL MCHENRY

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