44D0859242 CLIA NUMBER - COOKEVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 44D0859242
  • Facility Name: COOKEVILLE DIALYSIS
  • Facility Address: 320 N WILLOW AVE
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 615 528-7483
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: LEE R. CROWE
  • NPI Number: 1528661691
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 44D0859242
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COOKEVILLE DIALYSIS
Street 320 N WILLOW AVE
City COOKEVILLE
State TN
ZIP 38501
Phone 615 528-7483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director LEE R. CROWE

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