44D0316041 CLIA NUMBER - WAYNESBORO CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 44D0316041
  • Facility Name: WAYNESBORO CLINIC, LLC
  • Facility Address: 206 CLIFTON TURNPIKE
    WAYNESBORO, TN
    ZIP 38485
  • Facility Phone: (931) 722-3677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD H. POLK DO
  • NPI Number: 1407207814
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0316041
LAB Type Physician Office
Facility Name WAYNESBORO CLINIC, LLC
Street 206 CLIFTON TURNPIKE
City WAYNESBORO
State TN
ZIP 38485
Phone 9317223677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director DONALD H. POLK DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026