44D1002079 CLIA NUMBER - DICKSON MEDICAL ASSOCIATES PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 44D1002079
  • Facility Name: DICKSON MEDICAL ASSOCIATES PEDIATRIC CARE
  • Facility Address: 125 CRESTVIEW PARK DRIVE
    DICKSON, TN
    ZIP 37055
  • Facility Phone: 615 441-4411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARY K. MCNEAL
  • NPI Number: 1699915496
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1002079
LAB Type Physician Office
Facility Name DICKSON MEDICAL ASSOCIATES PEDIATRIC CARE
Street 125 CRESTVIEW PARK DRIVE
City DICKSON
State TN
ZIP 37055
Phone 615 441-4411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director MARY K. MCNEAL

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