44D0951347 CLIA NUMBER - TENNESSEE MEDICINE & PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 44D0951347
  • Facility Name: TENNESSEE MEDICINE & PEDIATRICS PC
  • Facility Address: 741 PRESIDENT PLACE, SUITE 200
    SMYRNA, TN
    ZIP 37167
  • Facility Phone: 615 459-7104
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MALLORY C. BAKER
  • NPI Number: 1598717225
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0951347
LAB Type Physician Office
Facility Name TENNESSEE MEDICINE & PEDIATRICS PC
Street 741 PRESIDENT PLACE, SUITE 200
City SMYRNA
State TN
ZIP 37167
Phone 615 459-7104
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director DR. MALLORY C. BAKER

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