44D1006598 CLIA NUMBER - PIONEER PEDIATRICS, PLLC

Laboratory Demographics

  • CLIA Code: 44D1006598
  • Facility Name: PIONEER PEDIATRICS, PLLC
  • Facility Address: 236 EAST MAIN ST
    MC MINNVILLE, TN
    ZIP 37110
  • Facility Phone: 931 815-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL G. ANDREWS
  • NPI Number: 1184816720
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 44D1006598
LAB Type Physician Office
Facility Name PIONEER PEDIATRICS, PLLC
Street 236 EAST MAIN ST
City MC MINNVILLE
State TN
ZIP 37110
Phone 931 815-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2024
Certificate Expiration Date 11/24/2026
Facility Type Physician Office
Lab Director DR. MICHAEL G. ANDREWS

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