44D0974215 CLIA NUMBER - LISA M WHITAKER MD

Laboratory Demographics

  • CLIA Code: 44D0974215
  • Facility Name: LISA M WHITAKER MD
  • Facility Address: 1120 PERIMETER PARK DR
    COOKEVILLE, TN
    ZIP 38501
  • Facility Phone: 931 528-0002
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LISA M. WHITAKER
  • NPI Number: 1306811427
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 44D0974215
LAB Type Physician Office
Facility Name LISA M WHITAKER MD
Street 1120 PERIMETER PARK DR
City COOKEVILLE
State TN
ZIP 38501
Phone 931 528-0002
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. LISA M. WHITAKER

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