44D1007486 CLIA NUMBER - PRIMARY CARE CLINIC LLC ASPEN GROVE MEDICAL PLAZA

Laboratory Demographics

  • CLIA Code: 44D1007486
  • Facility Name: PRIMARY CARE CLINIC LLC ASPEN GROVE MEDICAL PLAZA
  • Facility Address: 125 COOL SPRINGS BLVD SUITE #230
    FRANKLIN, TN
    ZIP 37067
  • Facility Phone: 615 771-8549
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEAN L. TAN
  • NPI Number: 1679850580
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 44D1007486
LAB Type Physician Office
Facility Name PRIMARY CARE CLINIC LLC ASPEN GROVE MEDICAL PLAZA
Street 125 COOL SPRINGS BLVD SUITE #230
City FRANKLIN
State TN
ZIP 37067
Phone 615 771-8549
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director JEAN L. TAN

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