44D0967078 CLIA NUMBER - JOHN D PATSIMAS MD

Laboratory Demographics

  • CLIA Code: 44D0967078
  • Facility Name: JOHN D PATSIMAS MD
  • Facility Address: 100 WILLIAM NORTHERN BLVD
    TULLAHOMA, TN
    ZIP 37388
  • Facility Phone: 931 454-0489
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. PATSIMAS MD
  • NPI Number: 1649376849
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D0967078
LAB Type Physician Office
Facility Name JOHN D PATSIMAS MD
Street 100 WILLIAM NORTHERN BLVD
City TULLAHOMA
State TN
ZIP 37388
Phone 931 454-0489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Physician Office
Lab Director JOHN D. PATSIMAS MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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