44D1004150 CLIA NUMBER - GRACE PRIMARY CARE A DIVISION OF SUMMIT MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 44D1004150
  • Facility Name: GRACE PRIMARY CARE A DIVISION OF SUMMIT MEDICAL GROUP
  • Facility Address: 950 BAKER HWY, STE 4
    HUNTSVILLE, TN
    ZIP 37756
  • Facility Phone: 844 655-1100
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TIMOTHY D. SMITH
  • NPI Number: 1992742605
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1004150
LAB Type Physician Office
Facility Name GRACE PRIMARY CARE A DIVISION OF SUMMIT MEDICAL GROUP
Street 950 BAKER HWY, STE 4
City HUNTSVILLE
State TN
ZIP 37756
Phone 844 655-1100
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director DR. TIMOTHY D. SMITH

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