44D0857831 CLIA NUMBER - CUMBERLAND FAMILY CARE PC MEDICAL ARTS PROFESSIONAL BLDG

Laboratory Demographics

  • CLIA Code: 44D0857831
  • Facility Name: CUMBERLAND FAMILY CARE PC MEDICAL ARTS PROFESSIONAL BLDG
  • Facility Address: 457 VISTA DRIVE
    SPARTA, TN
    ZIP 38583
  • Facility Phone: 931 738-3383
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TY WEBB MD
  • NPI Number: 1225003809
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0857831
LAB Type Physician Office
Facility Name CUMBERLAND FAMILY CARE PC MEDICAL ARTS PROFESSIONAL BLDG
Street 457 VISTA DRIVE
City SPARTA
State TN
ZIP 38583
Phone 931 738-3383
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director TY WEBB MD

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