44D0670366 CLIA NUMBER - PERRY C ROTHROCK III MD PLLC

Laboratory Demographics

  • CLIA Code: 44D0670366
  • Facility Name: PERRY C ROTHROCK III MD PLLC
  • Facility Address: 8309 CORDOVA RD
    CORDOVA, TN
    ZIP 38016
  • Facility Phone: (901) 757-9984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PERRY C. ROTHROCK III
  • NPI Number: 1023093655
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0670366
LAB Type Physician Office
Facility Name PERRY C ROTHROCK III MD PLLC
Street 8309 CORDOVA RD
City CORDOVA
State TN
ZIP 38016
Phone 9017579984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2026
Certificate Expiration Date 2/2/2028
Facility Type Physician Office
Lab Director DR. PERRY C. ROTHROCK III

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: 5/18/2026