44D0307885 CLIA NUMBER - VIP MIDSOUTH, LLC SPRINGFIELD CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 44D0307885
  • Facility Name: VIP MIDSOUTH, LLC SPRINGFIELD CHILDREN'S CLINIC
  • Facility Address: 426 22ND AVE EAST
    SPRINGFIELD, TN
    ZIP 37172
  • Facility Phone: 615 384-0600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER D. ASHWORTH
  • NPI Number: 1528641859
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0307885
LAB Type Physician Office
Facility Name VIP MIDSOUTH, LLC SPRINGFIELD CHILDREN'S CLINIC
Street 426 22ND AVE EAST
City SPRINGFIELD
State TN
ZIP 37172
Phone 615 384-0600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director DR. JENNIFER D. ASHWORTH

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