44D0941167 CLIA NUMBER - MICHAEL TEPEDINO MD

Laboratory Demographics

  • CLIA Code: 44D0941167
  • Facility Name: MICHAEL TEPEDINO MD
  • Facility Address: 1801 N WASHINGTON ST, SUITE 400
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 455-2201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL J. TEPEDINO
  • NPI Number: 1245288562
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 44D0941167
LAB Type Physician Office
Facility Name MICHAEL TEPEDINO MD
Street 1801 N WASHINGTON ST, SUITE 400
City TULLAHOMA
State TN
ZIP 37388
Phone 931 455-2201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director DR. MICHAEL J. TEPEDINO

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