44D0307625 CLIA NUMBER - PETER A DICORLETO MD

Laboratory Demographics

  • CLIA Code: 44D0307625
  • Facility Name: PETER A DICORLETO MD
  • Facility Address: 1832 WARD DRIVE STE 102
    MURFREESBORO, TN
    ZIP 37129
  • Facility Phone: 615 893-0790
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER A. DICORLETO MD
  • NPI Number: 1811985815
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0307625
LAB Type Physician Office
Facility Name PETER A DICORLETO MD
Street 1832 WARD DRIVE STE 102
City MURFREESBORO
State TN
ZIP 37129
Phone 615 893-0790
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 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director PETER A. DICORLETO MD

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