44D0925145 CLIA NUMBER - TTRN MEDICAL SERVICES DBA LEITHERLAND FAMILY CARE CLINIC

Laboratory Demographics

  • CLIA Code: 44D0925145
  • Facility Name: TTRN MEDICAL SERVICES DBA LEITHERLAND FAMILY CARE CLINIC
  • Facility Address: 1123 NORTH MAIN
    DYER, TN
    ZIP 38330
  • Facility Phone: 731 692-2853
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KALIE FOUST
  • NPI Number: 1114400587
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D0925145
LAB Type Physician Office
Facility Name TTRN MEDICAL SERVICES DBA LEITHERLAND FAMILY CARE CLINIC
Street 1123 NORTH MAIN
City DYER
State TN
ZIP 38330
Phone 731 692-2853
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Physician Office
Lab Director KALIE FOUST

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