44D0989983 CLIA NUMBER - DONALD TUCKER MD

Laboratory Demographics

  • CLIA Code: 44D0989983
  • Facility Name: DONALD TUCKER 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: DONALD V. TUCKER MD
  • NPI Number: 1487695904
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D0989983
LAB Type Physician Office
Facility Name DONALD TUCKER 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 DONALD V. TUCKER MD

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