44D0307762 CLIA NUMBER - PAUL PORTER MD

Laboratory Demographics

  • CLIA Code: 44D0307762
  • Facility Name: PAUL PORTER MD
  • Facility Address: 934 S BROADWAY SUITE 3
    PORTLAND, TN
    ZIP 37148
  • Facility Phone: 615 325-6446
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL R. PORTER MD
  • NPI Number: 1134154461
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0307762
LAB Type Physician Office
Facility Name PAUL PORTER MD
Street 934 S BROADWAY SUITE 3
City PORTLAND
State TN
ZIP 37148
Phone 615 325-6446
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PAUL R. PORTER MD

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