44D0721322 CLIA NUMBER - PEDIATRIC CHOICE CLINIC, DAYTON

Laboratory Demographics

  • CLIA Code: 44D0721322
  • Facility Name: PEDIATRIC CHOICE CLINIC, DAYTON
  • Facility Address: 149 WALNUT GROVE CHURCH ROAD
    DAYTON, TN
    ZIP 37321
  • Facility Phone: 423 775-5512
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES D. NELSON
  • NPI Number: 1205041555
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D0721322
LAB Type Physician Office
Facility Name PEDIATRIC CHOICE CLINIC, DAYTON
Street 149 WALNUT GROVE CHURCH ROAD
City DAYTON
State TN
ZIP 37321
Phone 423 775-5512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director DR. JAMES D. NELSON

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