44D0906276 CLIA NUMBER - DMA WAVERLY PEDIATRIC AND SPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 44D0906276
  • Facility Name: DMA WAVERLY PEDIATRIC AND SPECIALTY CLINIC
  • Facility Address: 300 S CLYDETON ROAD
    WAVERLY, TN
    ZIP 37185
  • Facility Phone: 615 446-5121
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRY ROSS
  • NPI Number: 1821048521
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D0906276
LAB Type Physician Office
Facility Name DMA WAVERLY PEDIATRIC AND SPECIALTY CLINIC
Street 300 S CLYDETON ROAD
City WAVERLY
State TN
ZIP 37185
Phone 615 446-5121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DR. KERRY ROSS

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